Healthcare Provider Details

I. General information

NPI: 1497284186
Provider Name (Legal Business Name): LINDSAY A WORLEY NP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/07/2017
Last Update Date: 05/18/2021
Certification Date: 05/18/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1050 REID PKWY, STE. 325 UROLOGICAL CARE
RICHMOND IN
47374
US

IV. Provider business mailing address

1100 REID PARKWAY MEDICAL STAFF SERVICES
RICHMOND IN
47374
US

V. Phone/Fax

Practice location:
  • Phone: 937-962-8551
  • Fax: 937-962-2591
Mailing address:
  • Phone: 765-962-8551
  • Fax: 765-962-2591

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number71007105A
License Number StateIN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: