Provider Demographics
NPI:1588904767
Name:WORLEY, RENITA MULLINS (MSN, NP-C)
Entity type:Individual
Prefix:MRS
First Name:RENITA
Middle Name:MULLINS
Last Name:WORLEY
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Gender:F
Credentials:MSN, NP-C
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Mailing Address - Street 1:800 OAK STREET
Mailing Address - Street 2:CENTER FOR GASTROINTESTINAL AND LIVER DISEASE
Mailing Address - City:FARMVILLE
Mailing Address - State:VA
Mailing Address - Zip Code:23901
Mailing Address - Country:US
Mailing Address - Phone:434-315-2860
Mailing Address - Fax:434-315-2865
Practice Address - Street 1:800 OAK STREET
Practice Address - Street 2:CENTER FOR GASTROINTESTINAL AND LIVER DISEASE
Practice Address - City:FARMVILLE
Practice Address - State:VA
Practice Address - Zip Code:23901
Practice Address - Country:US
Practice Address - Phone:434-315-2860
Practice Address - Fax:434-315-2865
Is Sole Proprietor?:No
Enumeration Date:2013-02-25
Last Update Date:2013-02-25
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
VA0024170505363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily