Provider Demographics
NPI:1255953980
Name:WORLEY, ANDREA LYNNE (NP)
Entity type:Individual
Prefix:
First Name:ANDREA
Middle Name:LYNNE
Last Name:WORLEY
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 422
Mailing Address - Street 2:
Mailing Address - City:PRESHO
Mailing Address - State:SD
Mailing Address - Zip Code:57568-0422
Mailing Address - Country:US
Mailing Address - Phone:605-895-2589
Mailing Address - Fax:605-895-2325
Practice Address - Street 1:116 N MAIN AVE
Practice Address - Street 2:
Practice Address - City:PRESHO
Practice Address - State:SD
Practice Address - Zip Code:57568-5420
Practice Address - Country:US
Practice Address - Phone:605-895-2589
Practice Address - Fax:605-895-2325
Is Sole Proprietor?:No
Enumeration Date:2020-05-15
Last Update Date:2025-07-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MS907105363LF0000X
FLAPRN11035496363LF0000X
TXF01201379363LF0000X
TX317642363LF0000X
AZ317642363LF0000X
AR231120363LF0000X
OH0037555363LF0000X
NC5021516363LF0000X
HIAPRN-4958363LF0000X
COC-APN.0102785-C-NP363LF0000X
TN37280363LF0000X
IN71016153A363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily