Doctor Name: | MS. DONNA LEE IRWIN |
NPI Number: | 1275523326 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | ARNP |
License Number: | ARNP388122 |
Business Practice Address: | 45377 Mickler St Callahan, FL - 320113001 |
Business Phone Number: | 9048792306 |
Business Fax Number: | 9048796377 |
Mailing Address: | Po Box 517, FERNANDINA BEACH |
State: | FL |
Postal Code: | 320350517 |
Phone Number: | 9045481800 |
Fax Number: | 9042777286 |
NPI Enumeration Date: | 10/28/2005 |
NPI Last Update Date: | 02/11/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LW0102X |
License Number: | ARNP388122 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | FL |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Women's Health |
Taxonomy Definition: |