Mayworth, Vandy Nichole

Mayworth, Vandy Nichole is an individual health care provider with primary practice located at 4240 Sun N Lake Blvd Ste 200 , Sebring FL 33872-1944. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Obstetrics & Gynecology, which is considered as her primary health care specialty. Mayworth, Vandy Nichole can be contacted via phone (863) 402-2229.

Contact Information

Primary practice address
4240 Sun N Lake Blvd Ste 200 Sebring FL 33872-1944
Phone: (863) 402-2229
Fax: (863) 402-1209
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Obstetrics & Gynecology 363LX0001X ARNP9270201 Florida

Profile Details

NPI number 1215203047
LBN Legal business name Mayworth, Vandy Nichole
Credentials ARNP
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 27th, 2012
Last updated Aug 22nd, 2013 - about 11 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1215203047 NPPES
Florida MEDICAID 004721800

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