Individual
STEPHANIE BENEDIC WORTH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
1901 MANHATTAN BLVD STE 200, HARVEY, LA 70058
(504) 354-5252
(504) 354-5253
Mailing address
PO BOX 4176, HOUMA, LA 70361-4176
(985) 876-0300
(985) 872-0317
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
AP07918
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2575733
—
LA
Enumeration date
07/18/2014
Last updated
07/13/2018
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