Individual
PATRICIA JUSTINE IRVIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
700 US HIGHWAY 31 S, GREENWOOD, IN 46143-2401
(317) 883-0567
Mailing address
6626 E 75TH ST STE 500, INDIANAPOLIS, IN 46250-2890
(317) 621-7547
Taxonomy
Speciality
Code
Description
License number
State
363LP2300X
Primary Care Nurse Practitioner
Primary
71008765A
IN
Other
Enumeration date
02/13/2019
Last updated
10/29/2021
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