Individual
MR. JOHN W IRWIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
AGNP-BC
Contact information
Practice address
9499 W CHARLESTON BLVD STE 250, LAS VEGAS, NV 89117-7148
(702) 933-3600
Mailing address
10224 BIRDS NEST CT, LAS VEGAS, NV 89131-1527
(702) 239-1785
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
822565
NV
Other
Enumeration date
07/02/2019
Last updated
07/02/2019
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