Individual provider · Type 1 NPI

Wanda Wirth

Nurse Practitioner · St. Cloud, MN

NPI number 1952955874 Active

Practice location

4801 Veterans Dr
St. Cloud, MN 56303-2015

Call (320) 252-1670 Map

Mailing address

4129 Center St
St. Cloud, MN 56303-0349

Specialties and licenses

TaxonomyCodeLicense
Family Nurse Practitioner 363LF0000XF02191068 (MN)
Nurse Practitioner Primary 363L00000XF02191068 (MN)

Nurse Practitioner: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance wit…

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About NPI 1952955874

Wanda Wirth's National Provider Identifier is 1952955874, issued on Jul 29, 2019. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in St. Cloud, MN. The record was last updated on Apr 17, 2025.