Provider Demographics
NPI:1043635352
Name:WORSTELL, JULIA (RN)
Entity Type:Individual
Prefix:MRS
First Name:JULIA
Middle Name:
Last Name:WORSTELL
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5601 CLEGG DR
Mailing Address - Street 2:
Mailing Address - City:TOLEDO
Mailing Address - State:OH
Mailing Address - Zip Code:43613-2022
Mailing Address - Country:US
Mailing Address - Phone:419-473-8330
Mailing Address - Fax:419-473-8461
Practice Address - Street 1:5601 CLEGG DR
Practice Address - Street 2:
Practice Address - City:TOLEDO
Practice Address - State:OH
Practice Address - Zip Code:43613-2022
Practice Address - Country:US
Practice Address - Phone:419-473-8330
Practice Address - Fax:419-473-8461
Is Sole Proprietor?:No
Enumeration Date:2014-02-24
Last Update Date:2014-02-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH192913163WS0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WS0200XNursing Service ProvidersRegistered NurseSchool