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NPI Code Detail

MEDICARE: MRS. KATHERINE MARIE WORST CPNP-AC

MEDICARE: MRS. KATHERINE MARIE WORST CPNP-AC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363LP0200XPediatric Nurse PractitionerRN1014180DC

General Provider Information

NPI Number : 1174957484
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. KATHERINE MARIE WORST CPNP-AC
Provider Business Mailing Address
First Line : PO BOX 37215
Second Line :
City : BALTIMORE
State : MD
Zip : 21297-7215
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 111 MICHIGAN AVE NW
Second Line : NORTH WEST
City : WASHINGTON
State : DC
Zip : 20010-2916
Country : US
Telephone Number : 202-476-5221
Fax Number : 202-476-7450
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/23/2013
Last Update Date : 09/10/2013

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