Individual
JOANNA WIRTH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
2756 KISSIMMEE BAY CIR, KISSIMMEE, FL 34744-3947
(407) 361-4605
Mailing address
2756 KISSIMMEE BAY CIR, KISSIMMEE, FL 34744-3947
(407) 361-4605
Taxonomy
Speciality
Code
Description
License number
State
163WC0200X
Critical Care Medicine Registered Nurse
95108472
CA
163WC0200X
Critical Care Medicine Registered Nurse
Primary
RN9191038
FL
Other
Enumeration date
04/24/2017
Last updated
04/24/2017
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