MS. CYNTHIA LOUISE WORNSTAFF FNP NPI 1811271661

NPI Information

NPI: 1811271661
Provider Name: MS. CYNTHIA LOUISE WORNSTAFF, FNP
Classification: Nurse Practitioner - 363LF0000X
Entity Type: Individual

Specialization: Family

PECOS Registration: Yes

Address:
3528 TONGASS AVE
KETCHIKAN, AK
ZIP 99901
Phone: (907) 965-4040
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MS. Cynthia Louise Wornstaff, FNP is a family nurse practitioner in Ketchikan, AK. MS. Cynthia Louise Wornstaff, FNP NPI is 1811271661. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

3528 TONGASS AVE
KETCHIKAN, AK
ZIP 99901-635
Phone: (907) 965-4040
Fax: (844) 742-6548

The NPI 1811271661 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Power Mobility Devices.

The enumeration date for this NPI number is 9/28/2011 and was last updated on 3/17/2023.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363LF0000X	Nurse Practitioner	Family	1238	ALASKA	No
2	363LF0000X	Nurse Practitioner	Family	201250030NP	OREGON	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	NP0234	MEDICAID	ALASKA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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