Kenworthey, Mary Ellen
Kenworthey, Mary Ellen is an individual health care provider with primary practice located at 2929 E Thomas Rd , Phoenix AZ 85016-8034. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Women's Health, Physician Assistants & Advanced Practice Nursing Providers / Obstetrics & Gynecology. Physician Assistants & Advanced Practice Nursing Providers / Obstetrics & Gynecology is her primary health care specialty. Kenworthey, Mary Ellen can be contacted via phone (602) 470-5000.Contact Information
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Physician Assistants & Advanced Practice Nursing Providers / Women's Health | 363LW0102X | RN043733 | Arizona |
Physician Assistants & Advanced Practice Nursing Providers / Obstetrics & Gynecology | 363LX0001X | RN043733 | Arizona |
Physician Assistants & Advanced Practice Nursing Providers / Women's Health | 363LW0102X | AP0078 | Arizona |
Profile Details
NPI number | 1184603342 |
---|---|
LBN Legal business name | Kenworthey, Mary Ellen |
Credentials | Nurse Practitioner (NP) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Jan 15th, 2006 |
Last updated | Mar 10th, 2017 - about 7 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1184603342 | NPPES |
Arizona | MEDICAID | 760406 |
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