Individual
MS. KATHY S. WORLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
213 WINDY RD, GRETNA, VA 24557-4004
(434) 324-9150
(434) 324-8248
Mailing address
213 WINDY RD, GRETNA, VA 24557-4004
(434) 324-9150
(434) 324-8248
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
0024102880
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
010112991
—
VA
01
—
P00412956
MEDICARE RAILROAD PROVIDER NUMBER
—
Enumeration date
07/07/2005
Last updated
07/02/2015
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