Individual
DEBBIE S WORTHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
801 S BROADWAY ST, MARLOW, OK 73055-3433
(580) 658-3784
(580) 658-3725
Mailing address
801 S BROADWAY ST, MARLOW, OK 73055-3433
(580) 658-3784
(580) 658-3725
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
L0050111
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
L0050111
LPN
OK
Enumeration date
01/18/2021
Last updated
01/18/2021
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