Angela R Irvin ARNP

NPI 1124161765 - Nurse Practitioner - 363L00000X

NPI Details
NPI 1124161765
Gender Female
Enumeration Date 02/14/2007
Last Updated 01/12/2010
Entity Type Individual
Active Over 9 years ago
Practice Location
215 CENTRAL AVE
SUITE 102
LOUISVILLE KY, 40208-1418, US
Phone (502) 852-7449
Fax (502) 852-1423
Business Location
501 E BROADWAY
SUITE 290
LOUISVILLE KY, 40202-1785, US
Phone (502) 217-8221
Fax (502) 217-5056
Toxanomy
Taxonomy Code 363L00000X
License State Kentucky
License Number 4734P
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According to our database, Angela R Irvin ARNP NPI is 1124161765, taxonomy code is 363L00000X and license number is 4734P, license state is located at Kentucky. Angela R Irvin ARNP physically located at 215 Central Ave, Louisville KY, 40208-1418. NPI Number Angela R Irvin ARNP has the Individual type.

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1124161765 NPI number is provided on an as is basis without warranty of any kind. 1124161765 is maintained by the National Plan & Provider Enumeration System. The contents of Angela R Irvin ARNP are for informational purposes only.