Individual
DANICA WIRSKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
716 STEVENS AVE, PORTLAND, ME 04103-2656
(207) 221-4516
Mailing address
716 STEVENS AVE, PORTLAND, ME 04103-2656
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
APN.0995560-CRNA
CO
Other
Enumeration date
06/02/2016
Last updated
06/15/2020
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