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Individual

SHARON MARIE IRVIN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
RN, WHNP-BC

Contact information

Practice address
5323 HARRY HINES BLVD, DALLAS, TX 75390-7208
(214) 645-0624
(214) 645-0078
Mailing address
PO BOX 845347, DALLAS, TX 75284-5347
(214) 645-0624
(214) 645-0078

Taxonomy

Speciality
Code
Description
License number
State
363LW0102X
Women's Health Nurse Practitioner
Primary
235890
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
070829902
TX
Enumeration date
04/11/2006
Last updated
12/22/2008
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