Individual provider · Type 1 NPI
Mackenzie Wirth
Critical Care Medicine Registered Nurse · Danville, PA
NPI number
1861264491
Active
Practice location
100 N Academy Ave
Danville, PA 17822-9800
Mailing address
1395 Keystone Way
Newport, PA 17074-9429
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Critical Care Medicine Registered Nurse Primary | 163WC0200X | RN747662 (PA) |
Critical Care Medicine Registered Nurse: Definition to come...
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About NPI 1861264491
Mackenzie Wirth's National Provider Identifier is 1861264491, issued on Oct 26, 2023. The primary taxonomy on file is Critical Care Medicine Registered Nurse (163WC0200X), and the practice location is in Danville, PA. The record was last updated on Oct 26, 2023.