Healthcare Provider Details

I. General information

NPI: 1518827336
Provider Name (Legal Business Name): WORTHINGTON INC PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/14/2025
Last Update Date: 12/10/2025
Certification Date: 12/10/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7151 CASCADE VALLEY CT STE 101-102
LAS VEGAS NV
89128-0496
US

IV. Provider business mailing address

7151 CASCADE VALLEY CT STE 101-102
LAS VEGAS NV
89128-0496
US

V. Phone/Fax

Practice location:
  • Phone: 702-420-2400
  • Fax:
Mailing address:
  • Phone: 702-420-2400
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code363LC1500X
TaxonomyCommunity Health Nurse Practitioner
License Number
License Number State

VIII. Authorized Official

Name: MINDY WORTHINGTON
Title or Position: OWNER
Credential: DNP
Phone: 702-420-2400