Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 363LF0000X | Nurse Practitioner - Family Medicine | 243467 | TX |
Y | 363LF0000X | Nurse Practitioner - Family Medicine | AP117115 | TX |
NPI | 1003064445 |
---|---|
Provider Name | Mrs. Paula Josephine Worley |
First Address | San Antonio, TX 78217-5419 |
Second Address | New Braunfels, TX 78130-2219 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 27/08/2008 |
Last Update Date | 17/03/2018 |