Wornstaff, Cynthia Louise

Wornstaff, Cynthia Louise is an individual health care provider with primary practice located at 3528 Tongass Ave , Ketchikan AK 99901-5635. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Wornstaff, Cynthia Louise can be contacted via phone (907) 965-4040.

Contact Information

Primary practice address
3528 Tongass Ave Ketchikan AK 99901-5635
Phone: (907) 965-4040
Fax: (844) 742-6548
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 1238 Alaska
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 201250030NP Oregon

Profile Details

NPI number 1811271661
LBN Legal business name Wornstaff, Cynthia Louise
Credentials Family Nurse Practitioner (FNP)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 28th, 2011
Last updated Mar 17th, 2023 - about last year

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 1811271661 NPPES
Alaska MEDICAID NP0234

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