Individual
JAMIE LYNN WIRTH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
800 MERCY DR, COUNCIL BLUFFS, IA 51503-3128
(712) 328-5000
Mailing address
10260 BOYD ST, OMAHA, NE 68134-2903
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
H170770
IA
Other
Enumeration date
06/28/2022
Last updated
08/22/2022
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