Wirt, Andrea

Wirt, Andrea is an individual health care provider with primary practice located at 301 University Blvd , Galveston TX 77555-5302. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, Physician Assistants & Advanced Practice Nursing Providers / Gerontology. Physician Assistants & Advanced Practice Nursing Providers / Gerontology is her primary health care specialty. Wirt, Andrea can be contacted via phone (409) 772-2222.

Contact Information

Primary practice address
301 University Blvd Galveston TX 77555-5302
Phone: (409) 772-2222
Fax: (409) 772-2222
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 530385 Texas
Physician Assistants & Advanced Practice Nursing Providers / Gerontology 363LG0600X AP107005 Texas

Profile Details

NPI number 1982763496
LBN Legal business name Wirt, Andrea
Credentials Gerontological Nurse Practitioner (GNP)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 8th, 2006
Last updated Jul 30th, 2019 - about 7 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1982763496 NPPES
Texas MEDICAID 041443501

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