Rebecca M Wirtz is a Family in Brainerd, Minnesota. Rebecca M Wirtz practices all healthcare services and medical treatments related to Family. The NPI Number for Rebecca M Wirtz is 1619950292. The last update date is 2016-01-15.
Rebecca M Wirtz's current location address is 523 N 3rd St, Brainerd, Minnesota. You can contact this provider via phone number 2188292861 and fax number 2184545843. The mailing address for Rebecca M Wirtz is 523 N 3rd St, Brainerd, Minnesota. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Rebecca M Wirtz |
|---|---|
| Address | 523 N 3rd St, Brainerd, Minnesota |
| Phone Number | 2188292861 |
| Fax Number | 2184545843 |
| Sole Proprietor | N |
| Credentials | NP |
NPI Number Detail
| NPI Number | 1619950292 |
|---|---|
| Provider Enumeration Date | 2005-11-28 |
| Last Updated Date | 2016-01-15 |
Provider Mailing Address Detail
| Address | 523 N 3rd St |
|---|---|
| City | Brainerd |
| State | Minnesota (MN) |
| Post Code | 564013054 |
| Phone Number | 2188292861 |
| Fax Number | 2184545843 |
Provider's Primary Taxonomy Detail
| Speciality | Family |
|---|---|
| Taxonomy | 363Lf0000X |
| Licence No | R1570490 |
|
Definition: An advanced practice registered nurse expert in primary healthcare for patients of all ages. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 440079800 | MN | -- |
Post Comment/ Review Below
What is the Rebecca M Wirtz's unique identification number?
The Rebecca M Wirtz has been assigned the NPI (National Provider Identifier) Number 1619950292 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you please share the complete physical address where Rebecca M Wirtz is geographically located?
The Rebecca M Wirtz is physically situated at the following location: 523 N 3Rd St, Brainerd, MN, 564013054.
What is Rebecca M Wirtz's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Rebecca M Wirtz is Family, and the corresponding taxonomy classification code for this specialized field is 363Lf0000X.
On what date did the Rebecca M Wirtz receive its 1619950292 assignment from the Centers for Medicare & Medicaid Services?
The Rebecca M Wirtz was assigned its 1619950292 by the Centers for Medicare & Medicaid Services on 2005-11-28.
As of what date were the details related to Rebecca M Wirtz most recently updated or revised?
The information pertaining to Rebecca M Wirtz, including its address, specialty, and other relevant details, was last updated or revised on 2016-01-15.
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