Individual
MRS. STACY L WORRELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RNFA
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
032526
OH
174400000X
Specialist
RN-293715
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000337075
ANTHEM PIN
OH
Enumeration date
07/05/2005
Last updated
07/13/2026
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