Individual
NICHOLAS SCOTT WORLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
355 W 16TH ST, INDIANAPOLIS, IN 46202-2207
(317) 963-7070
Mailing address
250 N SHADELAND AVE, INDIANAPOLIS, IN 46219-4959
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
10001205A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
300008117
—
IN
Enumeration date
09/09/2010
Last updated
05/28/2026
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