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Individual
DR. SAMANTHA ASHLEE WIRTH
Active
Individual
DR. SAMANTHA ASHLEE WIRTH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DNP, FNP-BC, FNP-C
Taxonomy
Speciality
Code
Description
License number
State
163WG0000X
General Practice Registered Nurse
RN200143
AZ
363LF0000X
Family Nurse Practitioner
Primary
254263
AZ
Other
Enumeration date
10/30/2020
Last updated
08/08/2022
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