Most Relevant Information
Provider Data
| NPI Number: | 1003298324 |
| Provider Name: | GORDON WORLEY FNP |
| Entity Type: | Individual |
| Taxonomy Code: | 363LF0000X |
| Specialty: | Nurse Practitioner |
| License Number: | 95002601 |
Most Important Dates
| Enumeration Date: | 06/23/2015 |
| Last Updated: | 07/08/2015 |
Provider Practice Location
1325 COTTONWOOD ST
WOODLAND
CA
956955131
Practice Location Phone/Fax
| Phone: | 5306623961 |
| Fax: |
Provider Mailing Location
PO BOX 2011
LOOMIS
CA
956502011
Provider Mailing Phone/Fax
| Phone: | 9162166180 |
| Fax: |