Individual
MAUREEN IRVIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
220 BROCK RD, CHICKAMAUGA, GA 30707-4100
(423) 544-5633
Mailing address
220 BROCK RD, CHICKAMAUGA, GA 30707-4100
(423) 544-5633
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
LPN090455
GA
253Z00000X
In Home Supportive Care Agency
—
—
372600000X
Adult Companion
—
—
3747P1801X
Personal Care Attendant
—
—
374T00000X
Religious Nonmedical Nursing Personnel
—
—
374U00000X
Home Health Aide
—
—
376J00000X
Homemaker
—
—
376K00000X
Nurse's Aide
—
—
385H00000X
Respite Care
—
—
Other
Enumeration date
02/09/2024
Last updated
02/09/2024
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