Individual
KATHERINE E WIRTH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
3920 MICHIGAN AVE, FORT MYERS, FL 33916-2205
(239) 332-9501
Mailing address
3920 MICHIGAN AVE, FORT MYERS, FL 33916-2205
(239) 332-9501
Taxonomy
Speciality
Code
Description
License number
State
363LW0102X
Women's Health Nurse Practitioner
Primary
ARNP9215517
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
307164200
—
FL
Enumeration date
10/23/2006
Last updated
12/12/2012
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