| Doctor Name: | DEZIREE D WORSTER |
| NPI Number: | 1437406444 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | NP-C |
| License Number: | CNP121028 |
| Business Practice Address: | 5721 Cutler Health Ctr Orono, ME - 044695721 |
| Business Phone Number: | 2075814000 |
| Business Fax Number: | 2075819512 |
| Mailing Address: | 5721 Cutler Health Ctr, ORONO |
| State: | ME |
| Postal Code: | 044695721 |
| Phone Number: | 2075814000 |
| Fax Number: | 2075819512 |
| NPI Enumeration Date: | 08/08/2012 |
| NPI Last Update Date: | 01/06/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LF0000X |
| License Number: | CNP121028 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | ME |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Family |
| Taxonomy Definition: | |