Healthcare Provider Details

I. General information

NPI: 1972916328
Provider Name (Legal Business Name): MARGARET WORTHY RN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/03/2014
Last Update Date: 06/04/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8630 FENTON ST STE 1204
SILVER SPRING MD
20910-3806
US

IV. Provider business mailing address

8630 FENTON ST STE 1204
SILVER SPRING MD
20910-3806
US

V. Phone/Fax

Practice location:
  • Phone: 301-740-7525
  • Fax: 240-499-2602
Mailing address:
  • Phone: 301-740-7525
  • Fax: 240-499-2602

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WC1600X
TaxonomyContinuing Education/Staff Development Registered Nurse
License NumberR159588
License Number StateMD

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: