Provider Demographics
NPI:1003064445
Name:WORLEY, PAULA JOSEPHINE (FNP-BC)
Entity Type:Individual
Prefix:MRS
First Name:PAULA
Middle Name:JOSEPHINE
Last Name:WORLEY
Suffix:
Gender:F
Credentials:FNP-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8711 VILLAGE DR STE 114
Mailing Address - Street 2:
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78217-5419
Mailing Address - Country:US
Mailing Address - Phone:512-754-7700
Mailing Address - Fax:512-754-0012
Practice Address - Street 1:66 GRUENE PARK DR STE 205
Practice Address - Street 2:
Practice Address - City:NEW BRAUNFELS
Practice Address - State:TX
Practice Address - Zip Code:78130-2219
Practice Address - Country:US
Practice Address - Phone:830-743-9192
Practice Address - Fax:830-743-9193
Is Sole Proprietor?:No
Enumeration Date:2008-08-27
Last Update Date:2018-03-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX243467363LF0000X
TXAP117115363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily