Individual
BETH IRWIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1355 PROVIDENCE RD, BRANDON, FL 33511-4885
(813) 651-4441
(813) 661-3374
Mailing address
1355 PROVIDENCE RD, BRANDON, FL 33511-4885
(813) 651-4441
(813) 661-3374
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
ARNP9281317
FL
Other
Enumeration date
07/16/2016
Last updated
07/22/2016
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