Provider Demographics
NPI:1124393087
Name:WORTEL, ANNA NARDO (ARNP)
Entity Type:Individual
Prefix:
First Name:ANNA
Middle Name:NARDO
Last Name:WORTEL
Suffix:
Gender:F
Credentials:ARNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:601 E ROLLINS STREET
Mailing Address - Street 2:CENTER FOR INTERVENTIONAL ENDOSCOPY
Mailing Address - City:ORLANDO
Mailing Address - State:FL
Mailing Address - Zip Code:32803-1248
Mailing Address - Country:US
Mailing Address - Phone:407-303-2570
Mailing Address - Fax:407-303-2585
Practice Address - Street 1:601 E ROLLINS STREET
Practice Address - Street 2:
Practice Address - City:ORLANDO
Practice Address - State:FL
Practice Address - Zip Code:32804-1248
Practice Address - Country:US
Practice Address - Phone:407-303-2570
Practice Address - Fax:407-303-2585
Is Sole Proprietor?:No
Enumeration Date:2012-03-12
Last Update Date:2014-06-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLARNP2825222363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily