Individual provider · Type 1 NPI

Connie Lee Worm

Nurse Practitioner · Sheboygan, WI

NPI number 1104044395 Active

Practice location

2108 Kohler Memorial Dr
Sheboygan, WI 53081-3100

Fax (920) 458-8801

Mailing address

3532 N 21st St
Sheboygan, WI 53083-2807

Specialties and licenses

TaxonomyCodeLicense
Nurse Practitioner Primary 363L00000X86329-030 (WI)

Nurse Practitioner: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance wit…

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About NPI 1104044395

Connie Lee Worm's National Provider Identifier is 1104044395, issued on Apr 23, 2007. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Sheboygan, WI. The record was last updated on Jul 8, 2007.