Individual
MRS. BERTHA RENEE KIRWAN
Active
Individual
MRS. BERTHA RENEE KIRWAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNP, MSN
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
12637
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
12637
BOARD OF NURSING, COA
OH
01
—
313697
RN LICENSE
OH
Enumeration date
09/22/2011
Last updated
09/22/2011
Update your record
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