Individual
PAULETTE I WORCESTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CFNP
Contact information
Practice address
950 N MARKET ST, UNION COUNTY MEDICAL CENTER, LIBERTY, IN 47353-8496
(765) 458-5191
(765) 458-7301
Mailing address
1100 REID PKWY, MEDICAL STAFF SERVICES, RICHMOND, IN 47374-1157
(765) 935-8802
(765) 983-3219
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
71000692A
IN
363LF0000X
Family Nurse Practitioner
COA.04953-NP
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000681077
ANTHEM BCBS
IN
05
—
200360880
—
IN
Enumeration date
03/15/2006
Last updated
11/06/2020
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