Provider Demographics
NPI:1134842081
Name:WORTHINGTON, CATHLEEN ELIZABETH (APN)
Entity type:Individual
Prefix:MRS
First Name:CATHLEEN
Middle Name:ELIZABETH
Last Name:WORTHINGTON
Suffix:
Gender:F
Credentials:APN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:711 W SHORE DR
Mailing Address - Street 2:
Mailing Address - City:BRIGANTINE
Mailing Address - State:NJ
Mailing Address - Zip Code:08203-2622
Mailing Address - Country:US
Mailing Address - Phone:908-892-4280
Mailing Address - Fax:
Practice Address - Street 1:9501 VENTNOR AVENUE
Practice Address - Street 2:
Practice Address - City:MARGATE
Practice Address - State:NJ
Practice Address - Zip Code:08402-2218
Practice Address - Country:US
Practice Address - Phone:609-822-4800
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-09-26
Last Update Date:2022-09-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ26NJ01373000363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily