| Robert E Worthen, APRN, FNP-BC | |
|
115 E Walnut St, Fairbury, IL 61739-1516 | |
| (815) 692-2305 | |
| Not Available |
| Full Name | Robert E Worthen |
|---|---|
| Gender | Male |
| Speciality | Nurse Practitioner - Family |
| Location | 115 E Walnut St, Fairbury, Illinois |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1942920129 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 163W00000X | Registered Nurse | 041.329183 (Illinois) | Secondary |
| 363LF0000X | Nurse Practitioner - Family | 209.025857 (Illinois) | Primary |
| Entity Name | Carle West Physician Group Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1467074138 PECOS PAC ID: 8921420308 Enrollment ID: O20200613000147 |
| Entity Name | Carle Bromenn Medical Center |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1104442615 PECOS PAC ID: 8921429499 Enrollment ID: O20200716000187 |
| Mailing Address | Practice Location Address |
|---|---|
| Robert E Worthen, APRN, FNP-BC 611 W. Park St, Fapc, Urbana, IL 61801 Ph: () - | Robert E Worthen, APRN, FNP-BC 115 E Walnut St, Fairbury, IL 61739-1516 Ph: (815) 692-2305 |
Katelyn J Stites, APN, NP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 106 S 1st St, Fairbury, IL 61739 Phone: 815-692-2308 | |
Lorilee Dunahee, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 106 S 1st St, Fairbury, IL 61739 Phone: 815-692-2833 Fax: 815-692-3278 | |
Mr. Brenton Waystout, FNP-BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 115 E Walnut St, Fairbury, IL 61739 Phone: 815-692-2305 | |
Amanda K Prather, ACNS-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 106 S 1st St Ste 100, Fairbury, IL 61739 Phone: 815-692-2308 |