Individual
CAROLYN R. FIRTH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
2450 RIVERSIDE AVE, MINNEAPOLIS, MN 55454-1450
(612) 672-6000
(612) 273-4098
Mailing address
2801 W KINNICKINNIC RIVER PKWY, 930, MILWAUKEE, WI 53215-3669
(414) 384-5111
(414) 643-8675
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
145595
WI
363LF0000X
Family Nurse Practitioner
Primary
CNP4886
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1255638649
—
WI
Enumeration date
02/21/2011
Last updated
07/21/2022
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