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NPI Code Detail

MEDICARE: KARLEE JO WORTHAM APRN, FNP-C

MEDICARE: KARLEE JO WORTHAM APRN, FNP-C
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
1363LF0000XFamily Nurse Practitioner3-002789AL
2363LF0000XFamily Nurse PractitionerAPRN11044996FL
3363LF0000XFamily Nurse PractitionerAPRN-5673HI
4363LF0000XFamily Nurse Practitioner121733OK
5363LF0000XFamily Nurse Practitioner4052585KY

General Provider Information

NPI Number : 1750917019
Entity Type Code : Individual
Provider Name (Legal Business Name) : KARLEE JO WORTHAM APRN, FNP-C
Provider Business Mailing Address
First Line : PO BOX 211699
Second Line :
City : EAGAN
State : MN
Zip : 55121-3699
Country : US
Telephone Number : 866-849-0692
Fax Number : 888-973-8821
Provider Business Practice Location Address
First Line : PO BOX 211699
Second Line :
City : EAGAN
State : MN
Zip : 55121-3699
Country : US
Telephone Number : 866-849-0692
Fax Number : 888-973-8821
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/19/2020
Last Update Date : 02/05/2026

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