Nicole M. Wirtz, PA-C
Surgical PA · Springfield, IL
UnclaimedPA-CNPI 1184933806
- Primary taxonomy
- 363AS0400X
- Enumerated
- 2010-09-29
- Practice location
- Springfield, IL
- Last NPPES update
- 2020-05-19
State licenses
- IL · Physician assistant · LICENSED PHYSICIAN ASSISTANTExpiredthrough 2026
“Listed on NPI record” means the provider reported this license to NPPES; other statuses come from the state board’s public records as of the last import. License numbers are not shown.
Source: CMS National Plan & Provider Enumeration System (NPPES) and state licensing boards. ScrubHub shows name, credential, taxonomy, practice city/state and license status only.