Individual
BEVERLY HIRTZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSN, NP
Contact information
Practice address
747 E COUNTY LINE RD STE D, GREENWOOD, IN 46143-1082
(317) 888-9669
(317) 885-7966
Mailing address
PO BOX 781076, DETROIT, MI 48278-1076
(317) 528-4800
(317) 865-1479
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
28167404A
IN
363LF0000X
Family Nurse Practitioner
Primary
71006312A
IN
Other
Enumeration date
06/08/2016
Last updated
05/01/2023
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