Worsham, Heather Michelle

Worsham, Heather Michelle is an individual health care provider with primary practice located at 1268 S 4Th St , Hartsville SC 29550-0703. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Pediatrics, which is considered as her primary health care specialty. Worsham, Heather Michelle can be contacted via phone (843) 332-0118.

Contact Information

Primary practice address
1268 S 4Th St Hartsville SC 29550-0703
Phone: (843) 332-0118
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Pediatrics 363LP0200X 3972 South Carolina

Profile Details

NPI number 1891926606
LBN Legal business name Worsham, Heather Michelle
Credentials Pediatric Nurse Practitioner (PNP)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 29th, 2009
Last updated Sep 13th, 2017 - about 9 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 1891926606 NPPES
South Carolina MEDICAID NP1467

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