Individual
KAREN LISA WIRTH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3581 OLD WASHINGTON RD, WALDORF, MD 20602-3270
(301) 638-4400
(301) 638-2200
Mailing address
3581 OLD WASHINGTON RD, WALDORF, MD 20602-3270
(301) 638-4400
(301) 638-2200
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
R194273
MD
Other
Enumeration date
10/09/2018
Last updated
04/22/2019
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