Provider Demographics
NPI:1790367407
Name:WORTHY, SYDNEY
Entity Type:Individual
Prefix:
First Name:SYDNEY
Middle Name:
Last Name:WORTHY
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 1:395 CUNNINGHAM LN
Mailing Address - Street 2:
Mailing Address - City:NEW CASTLE
Mailing Address - State:PA
Mailing Address - Zip Code:16105-5811
Mailing Address - Country:US
Mailing Address - Phone:334-695-4204
Mailing Address - Fax:
Practice Address - Street 1:395 CUNNINGHAM LN
Practice Address - Street 2:
Practice Address - City:NEW CASTLE
Practice Address - State:PA
Practice Address - Zip Code:16105-5811
Practice Address - Country:US
Practice Address - Phone:334-695-4204
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-04-22
Last Update Date:2023-09-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL041551709163W00000X
WARN61218217163W00000X
TX1113650163W00000X
NJ26NR19090900163W00000X
DCRN1062810163W00000X
AZ289440163W00000X
FLRN9440758163W00000X
VA0001312028163W00000X
MDR245988163W00000X
CA95248628163W00000X
OR10009160163W00000X
NY751275163W00000X
PARN737260163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse