Doctor Name: | MS. ELIZABETH HENRY IRELAND |
NPI Number: | 1265794531 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | RN |
License Number: | 222849-3102 |
Business Practice Address: | 982 Chambers St South Ogden, UT - 844034571 |
Business Phone Number: | 8014794105 |
Business Fax Number: | 8015842590 |
Mailing Address: | 982 Chambers Street, SOUTH OGDEN |
State: | UT |
Postal Code: | 84403 |
Phone Number: | 8014794105 |
Fax Number: | 8015842590 |
NPI Enumeration Date: | 06/13/2012 |
NPI Last Update Date: | 06/13/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 163WP2201X |
License Number: | 222849-3102 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | UT |
Taxonomy Type: | Nursing Service Providers |
Taxonomy Classification: | Registered Nurse |
Taxonomy Specialization: | Ambulatory Care |
Taxonomy Definition: |