Individual
MACKENZIE WIRTH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
100 N ACADEMY AVE, DANVILLE, PA 17822-9800
(570) 271-6211
Mailing address
1395 KEYSTONE WAY, NEWPORT, PA 17074-9429
(717) 635-5941
Taxonomy
Speciality
Code
Description
License number
State
163WC0200X
Critical Care Medicine Registered Nurse
Primary
RN747662
PA
Other
Enumeration date
10/26/2023
Last updated
10/26/2023
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