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Contact Information

MIRANDA L WIRTZ, RN
410 S ADEWAY STE C
FOWLER, IN47944-8418
 Phone: 765-884-1343
 Fax: 765-884-2026
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Registered Nurse

163W00000X
 

Community Health

163WC1500X
Indicates primary specialty

NPI Profile & details for MIRANDA L WIRTZ · (Female)

NPI # 1598411647
Status Active
Credentials RN (Registered Nurse)
Entity Individual
Enumeration date 02/28/2022
Last updated 03/02/2022 - About 4 years ago
Sole proprietor 1 No
Identifiers
  • IN License # 28238968A
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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