Individual
MRS. CHERYL ANN WIRTH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN,FNP-BC
Contact information
Practice address
18230 FM 1488 RD STE 200, MAGNOLIA, TX 77354-4530
(281) 356-2525
(281) 356-2920
Mailing address
18230 FM 1488 RD STE 200, MAGNOLIA, TX 77354-4530
(281) 356-2525
(281) 356-2920
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
0276822-22
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0276822-22
CFNP LICENSE
TX
Enumeration date
08/19/2006
Last updated
11/17/2009
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