Worthon, Freda Annette

Worthon, Freda Annette is an individual health care provider with primary practice located at 1300 E Bradford Pkwy , Springfield MO 65804-4264. She recently has 2 registered licenses in different health care specialties including Nursing Service Providers / Licensed Practical Nurse, Behavioral Health & Social Service Providers / Professional. Behavioral Health & Social Service Providers / Professional is her primary health care specialty. Worthon, Freda Annette can be contacted via phone (417) 761-5000.

Contact Information

Primary practice address
1300 E Bradford Pkwy Springfield MO 65804-4264
Phone: (417) 761-5000
Fax: (417) 761-5011
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Licensed Practical Nurse 164W00000X 030489 Missouri
Behavioral Health & Social Service Providers / Professional 101YP2500X 1999136664 Missouri

Profile Details

NPI number 1295239671
LBN Legal business name Worthon, Freda Annette
Credentials MED, LPC, LPN
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 21st, 2018
Last updated Feb 8th, 2022 - about 2 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 1295239671 NPPES
Missouri MEDICAID 494977416

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