Healthcare Provider Details

I. General information

NPI: 1417916214
Provider Name (Legal Business Name): BELINDA S WIREKO CNP
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/21/2006
Last Update Date: 03/07/2023
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

BELINDA WIREKO 7296 TARRAGON COURT
WEST CHESTER OH
45069-5540
US

IV. Provider business mailing address

BELINDA WIREKO 7296 TARRAGON COURT
WEST CHESTER OH
45069-5540
US

V. Phone/Fax

Practice location:
  • Phone: 513-759-6165
  • Fax:
Mailing address:
  • Phone: 513-759-6165
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License NumberCOA 10402-NP
License Number StateOH
# 2
Primary TaxonomyN
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberNP 10402
License Number StateOH
# 3
Primary TaxonomyY
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License NumberRN 266509
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: