Wirth, Justin Robert

Wirth, Justin Robert is an individual health care provider with primary practice located at 4801 Veterans Dr # 111 , Saint Cloud MN 56303-2015. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health, which is considered as his primary health care specialty. Wirth, Justin Robert can be contacted via phone (320) 252-1670.

Contact Information

Primary practice address
4801 Veterans Dr # 111 Saint Cloud MN 56303-2015
Phone: (320) 252-1670
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X 7559 Minnesota

Profile Details

NPI number 1629687124
LBN Legal business name Wirth, Justin Robert
Credentials DNP, APRN, PMHNP-BC
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 30th, 2020
Last updated Jul 30th, 2020 - about 6 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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