Individual
MS. DONNA LEE IRWIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
45377 MICKLER ST, CALLAHAN, FL 32011-3001
(904) 879-2306
(904) 879-6377
Mailing address
PO BOX 517, FERNANDINA BEACH, FL 32035-0517
(904) 548-1800
(904) 277-7286
Taxonomy
Speciality
Code
Description
License number
State
363LW0102X
Women's Health Nurse Practitioner
Primary
ARNP388122
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
034055300
—
FL
Enumeration date
10/28/2005
Last updated
02/11/2013
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