Provider Demographics
NPI:1134314057
Name:WORF, ANN C (NP)
Entity Type:Individual
Prefix:
First Name:ANN
Middle Name:C
Last Name:WORF
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:2501 PARK PLZ
Mailing Address - Street 2:BUILDING ONE
Mailing Address - City:NASHVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37203-1512
Mailing Address - Country:US
Mailing Address - Phone:615-344-2500
Mailing Address - Fax:615-344-2410
Practice Address - Street 1:2501 PARK PLZ
Practice Address - Street 2:BUILDING ONE
Practice Address - City:NASHVILLE
Practice Address - State:TN
Practice Address - Zip Code:37203-1512
Practice Address - Country:US
Practice Address - Phone:615-344-2500
Practice Address - Fax:615-344-2410
Is Sole Proprietor?:No
Enumeration Date:2007-09-13
Last Update Date:2009-07-20
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
TNAPN12860363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
Provider Identifiers
StateIdentifier IDID TypeIssuer
TN1511568Medicaid
KY7100028090Medicaid
TNP00703833OtherRR MEDICARE
TN1511568Medicaid