Individual
MS. PENNY GAIL WORSECH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
4801 VETERANS DR, SAINT CLOUD, MN 56303-2015
(320) 269-2222
Mailing address
4801 VETERANS DR, SAINT CLOUD, MN 56303-2015
(320) 269-2222
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
R128124-2
MN
Other
Enumeration date
09/28/2006
Last updated
12/21/2009
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