Individual
MRS. SAMANTHA KAYE IRWIN
Active
Individual
MRS. SAMANTHA KAYE IRWIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Taxonomy
Speciality
Code
Description
License number
State
163WG0000X
General Practice Registered Nurse
2009015723
MO
363LF0000X
Family Nurse Practitioner
Primary
F12201042
MO
Other
Enumeration date
10/15/2020
Last updated
05/26/2021
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