Provider Demographics
NPI:1598026866
Name:WORSLEY, MISCHELLE L
Entity Type:Individual
Prefix:
First Name:MISCHELLE
Middle Name:L
Last Name:WORSLEY
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7241 CRAFFORD PL
Mailing Address - Street 2:
Mailing Address - City:FORT WASHINGTON
Mailing Address - State:MD
Mailing Address - Zip Code:20744-2002
Mailing Address - Country:US
Mailing Address - Phone:202-270-5587
Mailing Address - Fax:
Practice Address - Street 1:7241 CRAFFORD PL
Practice Address - Street 2:
Practice Address - City:FORT WASHINGTON
Practice Address - State:MD
Practice Address - Zip Code:20744-2002
Practice Address - Country:US
Practice Address - Phone:202-270-5587
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-06-04
Last Update Date:2012-06-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374U00000XNursing Service Related ProvidersHome Health Aide