Individual
DAMARA L VAN IRVIN
Active
Individual
DAMARA L VAN IRVIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNM
Taxonomy
Speciality
Code
Description
License number
State
367A00000X
Advanced Practice Midwife
13147
KY
367A00000X
Advanced Practice Midwife
71003059A
IN
367A00000X
Advanced Practice Midwife
Primary
MW010701
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
104084736
—
PA
05
—
201047780A
—
IN
Enumeration date
10/06/2009
Last updated
02/13/2025
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