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CONNIE LEE WORM
NPI 1104044395
Nurse Practitioner in Sheboygan, WI

Active since April 23, 2007
2108 KOHLER MEMORIAL DR, SHEBOYGAN, WI 53081(920) 458-9401(920) 458-8801 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Connie Lee Worm NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

CONNIE LEE WORM (NPI 1104044395) is an individual nurse practitioner in Sheboygan, Wisconsin, licensed in Wisconsin (86329-030) and active in the NPI registry since April 2007.

NPPES Registry Identity

NPI1104044395
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameCONNIE LEE WORM
Location Address2108 KOHLER MEMORIAL DRSheboygan, WI 53081-3100
Mailing Address3532 N 21st StSheboygan, WI 53083-2807 · (920) 458-6556
Phone(920) 458-9401
Fax(920) 458-8801
Sole ProprietorNo
Enumeration DateApril 23, 2007
Last NPPES UpdateJuly 8, 2007
✔ NPI 1104044395 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License✔ Licensed in WI · 86329-030
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
2108 KOHLER MEMORIAL DR, Sheboygan, WI 53081
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Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ST. VINCENT HOSPITAL-HOSPITAL SISTERS-THIRD ORDER OF ST. FRANCIS
Clinic/Center (Mental Health (Including Community Mental Health Center))
2108 KOHLER MEMORIAL DR
SHEBOYGAN, WI 53081
Sheboygan County (920) 498-8600
ST. JOSEPH'S HOSPITAL
Special Hospital
2108 KOHLER MEMORIAL DR
SHEBOYGAN, WI 53081
Sheboygan County (920) 498-8600
GRUBE ANESTHESIA SERVICES, LLC
Nurse Anesthetist, Certified Registered
2108 KOHLER MEMORIAL DR, STE 101
SHEBOYGAN, WI 53081
Sheboygan County (920) 451-8142

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Connie Worm's NPI number?

The NPI number for Connie Worm is 1104044395. It was assigned to this individual provider in the NPPES registry on April 23, 2007.

Where is Connie Worm located?

Connie Worm practices at 2108 Kohler Memorial Dr, Sheboygan, WI 53081. The listed phone number is (920) 458-9401.

What is Connie Worm's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

When was this NPI record last updated?

The NPPES record for Connie Worm was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.