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NPI Code Detail

MEDICARE: MRS. JULIA WORSTELL RN

MEDICARE: MRS. JULIA WORSTELL RN
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
1163WS0200XSchool Registered Nurse192913OH

General Provider Information

NPI Number : 1043635352
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. JULIA WORSTELL RN
Provider Business Mailing Address
First Line : 5601 CLEGG DR
Second Line :
City : TOLEDO
State : OH
Zip : 43613-2022
Country : US
Telephone Number : 419-473-8330
Fax Number : 419-473-8461
Provider Business Practice Location Address
First Line : 5601 CLEGG DR
Second Line :
City : TOLEDO
State : OH
Zip : 43613-2022
Country : US
Telephone Number : 419-473-8330
Fax Number : 419-473-8461
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/24/2014
Last Update Date : 02/24/2014

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