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NPI Code Detail

MEDICARE: SHARON WORLTON NP

MEDICARE: SHARON WORLTON NP
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
1163W00000XRegistered Nurse28254775AIN

General Provider Information

NPI Number : 1003422858
Entity Type Code : Individual
Provider Name (Legal Business Name) : SHARON WORLTON NP
Provider Business Mailing Address
First Line : 1262 AMHERST RD
Second Line :
City : LIMA
State : OH
Zip : 45806-9702
Country : US
Telephone Number : 920-948-7085
Fax Number :
Provider Business Practice Location Address
First Line : 11104 PARKVIEW CIRCLE DR STE 330
Second Line :
City : FORT WAYNE
State : IN
Zip : 46845-1674
Country : US
Telephone Number : 260-494-3484
Fax Number : 260-969-0188
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/17/2020
Last Update Date : 05/11/2026

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