Provider Demographics
NPI:1679788731
Name:WORLEY, JOANNE FRANCES RUOT (CRNA)
Entity type:Individual
Prefix:MRS
First Name:JOANNE
Middle Name:FRANCES RUOT
Last Name:WORLEY
Suffix:
Gender:F
Credentials:CRNA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10505 BELLA VISTA DR
Mailing Address - Street 2:
Mailing Address - City:FORT MYERS
Mailing Address - State:FL
Mailing Address - Zip Code:33913-7005
Mailing Address - Country:US
Mailing Address - Phone:239-768-2130
Mailing Address - Fax:
Practice Address - Street 1:13981 MCGREGOR BLVD
Practice Address - Street 2:PACAYA BAY SURGICAL CENTER
Practice Address - City:FORT MYERS
Practice Address - State:FL
Practice Address - Zip Code:33919-6130
Practice Address - Country:US
Practice Address - Phone:239-275-4505
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-11
Last Update Date:2011-02-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL438772367500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes367500000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Anesthetist, Certified Registered