Individual
ELIZABETH JULIETTE WIRTH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNP
Contact information
Practice address
2600 NAVARRE AVE, OREGON, OH 43616-3207
(419) 696-8882
(419) 696-8819
Mailing address
2200 JEFFERSON AVE FL 5, TOLEDO, OH 43604-7102
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN.454165
OH
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
APRN.CNP.0027552
OH
Other
Enumeration date
08/07/2020
Last updated
10/05/2020
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