Basic Information
| Provider Information | |||||||||
| NPI: | 1114939436 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | WORTHLEY | ||||||||
| FirstName: | CATHERINE | ||||||||
| MiddleName: | |||||||||
| NamePrefix: | MS. | ||||||||
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| Credential: | APRN | ||||||||
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| Mailing Information | |||||||||
| Address1: | 4 FARM SPRINGS RD | ||||||||
| Address2: | PROHEALTH PHYSICIANS | ||||||||
| City: | FARMINGTON | ||||||||
| State: | CT | ||||||||
| PostalCode: | 060322573 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 8602845200 | ||||||||
| FaxNumber: | 8602845333 | ||||||||
| Practice Location | |||||||||
| Address1: | 6 NORTHWESTERN DR | ||||||||
| Address2: | |||||||||
| City: | BLOOMFIELD | ||||||||
| State: | CT | ||||||||
| PostalCode: | 060023463 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 8602428330 | ||||||||
| FaxNumber: | 8602425027 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 08/13/2006 | ||||||||
| LastUpdateDate: | 10/04/2007 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 363LP0200X | 000544 | CT | Y | Physician Assistants & Advanced Practice Nursing Providers | Nurse Practitioner | Pediatrics |
No ID Information.