Worthy, Michelle L

Worthy, Michelle L is an individual health care provider with primary practice located at 1102 W Highland Ave , Phoenix AZ 85013-2470. She recently has only one registered license in Nursing Service Providers / Licensed Practical Nurse, which is considered as her primary health care specialty. Worthy, Michelle L can be contacted via phone (602) 707-2415.

Contact Information

Primary practice address
1102 W Highland Ave Phoenix AZ 85013-2470
Phone: (602) 707-2415
Fax: (602) 707-2040
Website:
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Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Licensed Practical Nurse 164W00000X LP024466 Arizona

Profile Details

NPI number 1336280916
LBN Legal business name Worthy, Michelle L
Credentials Licensed Practical Nurse (LPN)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 8th, 2007
Last updated Jul 9th, 2007 - about 17 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 1336280916 NPPES
Arizona MEDICAID 007122

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