Provider Demographics
NPI:1982125597
Name:WORLEY, ELIZABETH AMICK (DNP)
Entity Type:Individual
Prefix:DR
First Name:ELIZABETH
Middle Name:AMICK
Last Name:WORLEY
Suffix:
Gender:F
Credentials:DNP
Other - Prefix:
Other - First Name:ELIZABETH
Other - Middle Name:WORLEY
Other - Last Name:ZDUNICH
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:DNP
Mailing Address - Street 1:1177 S MAIN ST
Mailing Address - Street 2:
Mailing Address - City:SMITHFIELD
Mailing Address - State:UT
Mailing Address - Zip Code:84335-6764
Mailing Address - Country:US
Mailing Address - Phone:435-994-8053
Mailing Address - Fax:
Practice Address - Street 1:1177 S MAIN ST
Practice Address - Street 2:
Practice Address - City:SMITHFIELD
Practice Address - State:UT
Practice Address - Zip Code:84335-6764
Practice Address - Country:US
Practice Address - Phone:359-948-0534
Practice Address - Fax:435-994-8054
Is Sole Proprietor?:No
Enumeration Date:2017-07-05
Last Update Date:2023-03-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
UT11866364-8900363LF0000X
OR201802256NP-PP363L00000X
FLARNP9390831363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner