Doctor Name: | MS. CYNTHIA JOHNSON IRWIN |
NPI Number: | 1124298708 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | R.N. |
License Number: | 171962 |
Business Practice Address: | 31199 Manitoba Dr Evergreen, CO - 804397054 |
Business Phone Number: | 3036746199 |
Business Fax Number: | 3036740697 |
Mailing Address: | 31199 Manitoba Dr, EVERGREEN |
State: | CO |
Postal Code: | 804397054 |
Phone Number: | 3036746199 |
Fax Number: | 3036740697 |
NPI Enumeration Date: | 03/10/2008 |
NPI Last Update Date: | 03/10/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 163WP0808X |
License Number: | 171962 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | CO |
Taxonomy Type: | Nursing Service Providers |
Taxonomy Classification: | Registered Nurse |
Taxonomy Specialization: | Psych/Mental Health |
Taxonomy Definition: |