Individual
MS. CYNTHIA LOUISE WORNSTAFF
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
3528 TONGASS AVE, KETCHIKAN, AK 99901-5635
(907) 965-4040
(844) 742-6548
Mailing address
3528 TONGASS AVE, KETCHIKAN, AK 99901-5635
(907) 965-4040
(844) 742-6548
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
1238
AK
363LF0000X
Family Nurse Practitioner
Primary
201250030NP
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
NP0234
—
AK
Enumeration date
09/28/2011
Last updated
03/17/2023
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