Individual provider · Type 1 NPI

Elisha Wortham

Licensed Practical Nurse · Syracuse, NY

NPI number 1447155528 Active

Practice location

4594 Onondaga Blvd Apt 38
Syracuse, NY 13219-3312

Call (315) 882-3064 Map

Specialties and licenses

TaxonomyCodeLicense
Licensed Practical Nurse Primary 164W00000X345647 (NY)

Licensed Practical Nurse: An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.

Other licensed practical nurse providers in Syracuse

See all in Syracuse →

About NPI 1447155528

Elisha Wortham's National Provider Identifier is 1447155528, issued on Oct 9, 2026. The primary taxonomy on file is Licensed Practical Nurse (164W00000X), and the practice location is in Syracuse, NY. The record was last updated on Oct 9, 2026.