Shelly L Worch, RN
Registered Nurse, Psych/Mental Health, Child & Adolescent in Northridge, CA. Individual provider (NPI-1).
NPI number1356950331
StatusActive
Last updated in NPPESNov 27, 2023
Details
- NPI
- 1356950331
- Entity type
- Individual (NPI-1)
- Name
- Shelly L Worch
- Credential
- RN
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Jul 27, 2020
- Certification date
- Jul 27, 2020
- Last updated
- Nov 27, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 163WP0807X | Registered Nurse, Psych/Mental Health, Child & Adolescent | 803591 | CA | Yes |
Practice location
18300 Roscoe BlvdNorthridge, CA 91325-4105
Phone 818-885-5484
Mailing address
18300 Roscoe BlvdNorthridge, CA 91325-4105
Phone 818-885-5484
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