Healthcare Provider Details

I. General information

NPI: 1053235572
Provider Name (Legal Business Name): ABBEY WORTHINGTON RN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/06/2026
Last Update Date: 08/06/2026
Certification Date: 08/06/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2129 N 725 W
LAYTON UT
84041-5347
US

IV. Provider business mailing address

2129 N 725 W
LAYTON UT
84041-5347
US

V. Phone/Fax

Practice location:
  • Phone: 813-388-1733
  • Fax: 813-388-1733
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WH1000X
TaxonomyHospice Registered Nurse
License Number9633882
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: