| Organization Name: | DR N W WORDEN PC |
| NPI Number: | 1003031204 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | NELSON WILLIAM WORDEN (PRESIDENT) |
| Mailing Address: | 2206 Lincolnway E Mishawaka |
| State: | IN US |
| Postal Code: | 465443301 |
| Phone Number: | 5742585060 |
| Fax Number: | 5742585076 |
| NPI Enumeration Date: | 04/15/2007 |
| NPI Last Update Date: | 01/14/2010 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 213EP1101X |
| License Number: | 07000536A |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | IN |
| Taxonomy Type: | Podiatric Medicine & Surgery Service Providers |
| Taxonomy Classification: | Podiatrist |
| Taxonomy Specialization: | Primary Podiatric Medicine |
| Taxonomy Definition: | |