Wirth, Carol M

Wirth, Carol M is an sole proprietor health care provider with primary practice located at 115 Crescent Dr , Fort Myers FL 33919-6101. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered, which is considered as her primary health care specialty. Wirth, Carol M can be contacted via phone (239) 281-6722.

Contact Information

Primary practice address
115 Crescent Dr Fort Myers FL 33919-6101
Phone: (239) 281-6722
Fax: (239) 433-9569
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X ARNP3133532 Florida
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X 209004737 Illinois

Profile Details

NPI number 1013900877
LBN Legal business name Wirth, Carol M
Credentials Certified Registered Nurse Anesthetist (CRNA)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 26th, 2005
Last updated Feb 27th, 2017 - about 9 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 1013900877 NPPES
Florida MEDICAID 304460200
Florida Other G2100

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