person
Amanda Jene Wirth, APRN
Women's Health Nurse Practitioner in Lakeland, Florida
NPI 1619370053

Amanda Jene Wirth is a Women's Health Nurse Practitioner based in Lakeland, FL and is specialized in Women's Health. Amanda Jene Wirth practices in Lakeland, FL and has the professional credentials of APRN. The NPI Number for Amanda Jene Wirth is 1619370053 and holds a License No. 16289 (Florida).

The current practice location address for Amanda Jene Wirth is 215 Imperial Blvd Ste B2, Lakeland, FL and can be reached out via phone at 813-684-2229 and via fax at 813-413-8507. You can also correspond with Amanda Jene Wirth through the mailing address at 215 IMPERIAL BLVD STE B2, LAKELAND, FL - 33803-4689 (mailing address contact number: 813-684-2229).

Location: 215 Imperial Blvd Ste B2, Lakeland, FL, 33803-4689
person
Provider Profile Details
NPI Number
1619370053
Provider Name
Amanda Jene Wirth
Credential
APRN
Provider Entity Type
Individual
Gender
Female
Address
215 Imperial Blvd Ste B2, Lakeland, FL, 33803-4689
Phone Number
813-684-2229
Fax Number
813-413-8507
Provider Enumeration Date
09/30/2014
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
024693700 05 FL
0111806 05 OH
institution
Provider Business Practice Location Address Details
Address
215 Imperial Blvd Ste B2
City
State
Zip
33803-4689
Phone Number
813-684-2229
Fax Number
813-413-8507
person
Provider Business Mailing Address Details
Address
215 Imperial Blvd Ste B2
City
State
Zip
33803-4689
Phone Number
813-684-2229
Fax Number
813-413-8507
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Women's Health
Taxonomy
License No.
16289 (Ohio)
Definition
Definition to come...
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