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Individual
IRENE CARR
Active
Individual
IRENE CARR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD, FNP-BC, CNM
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
14827
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
6192804213
LA MAESTRA COMMUNITY HEALTH CENTER
CA
Enumeration date
10/09/2007
Last updated
11/18/2011
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