Ms Terren Courtney Wortham, DNP, CRNA | |
18701 N 67th Ave, Glendale, AZ 85308-7100 | |
(623) 561-1000 | |
Not Available |
Full Name | Ms Terren Courtney Wortham |
---|---|
Gender | Female |
Speciality | Nurse Anesthetist, Certified Registered |
Location | 18701 N 67th Ave, Glendale, Arizona |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1043795370 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
367500000X | Nurse Anesthetist, Certified Registered | 95000998 (California) | Secondary |
367500000X | Nurse Anesthetist, Certified Registered | 265258 (Arizona) | Primary |
Entity Name | Permanente Medical Group Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1073606299 PECOS PAC ID: 8921910225 Enrollment ID: O20031104000710 |
Entity Name | Regents Of The Univ Of Ca |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1013906973 PECOS PAC ID: 3375456619 Enrollment ID: O20031111000892 |
Entity Name | Anesthesia Services Of San Joaquin Pc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1366778227 PECOS PAC ID: 4082754056 Enrollment ID: O20091223000174 |
Mailing Address | Practice Location Address |
---|---|
Ms Terren Courtney Wortham, DNP, CRNA 17685 W Golden Eye Ave, Goodyear, AZ 85338-5847 Ph: (623) 217-7005 | Ms Terren Courtney Wortham, DNP, CRNA 18701 N 67th Ave, Glendale, AZ 85308-7100 Ph: (623) 561-1000 |
Juan N Aliaga, DNP, APRN-CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 18701 N 67th Ave, Glendale, AZ 85308 Phone: 623-561-1000 | |
Jason Scott Herndon, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 18701 N 67th Ave, Glendale, AZ 85308 Phone: 623-561-1000 | |
Camarae Mikaela Mather, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 18701 N 67th Ave, Glendale, AZ 85308 Phone: 602-653-3012 | |
Stephen Patrick Standish, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 5901 W Behrend Dr Apt 1155, Glendale, AZ 85308 Phone: 206-372-7032 | |
Kenneth Michael Bania, Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 18701 N 67th Ave, Glendale, AZ 85308 Phone: 623-561-1000 | |
Aaron Morrow, PHARMD Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 19410 N 68th Ave, Glendale, AZ 85308 Phone: 505-710-6292 |