Individual
SYDNEY IRWIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1475 KISKER RD STE 200, SAINT CHARLES, MO 63304-8788
(636) 498-5810
Mailing address
PO BOX 955534, SAINT LOUIS, MO 63195-5534
(636) 498-5810
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
2025019598
MO
390200000X
Student in an Organized Health Care Education/Training Program
—
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Other
Enumeration date
02/07/2025
Last updated
10/02/2025
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