Worrell, Carolyn Wise

Worrell, Carolyn Wise is an individual health care provider with primary practice located at 20 York St , New Haven CT 06510-3220. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered, which is considered as her primary health care specialty. Worrell, Carolyn Wise can be contacted via phone (203) 785-2802.

Contact Information

Primary practice address
20 York St New Haven CT 06510-3220
Phone: (203) 785-2802
Fax: (203) 785-6664
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X 923 South Carolina
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X 4093 Connecticut

Profile Details

NPI number 1275599029
LBN Legal business name Worrell, Carolyn Wise
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 21st, 2006
Last updated Feb 25th, 2016 - about 8 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 1275599029 NPPES
South Carolina MEDICAID AN0823

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