Individual
MRS. HEIDI H IRWIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSN
Contact information
Practice address
9415 CAMPUS POINT DRIVE, LA JOLLA, CA 92093
(858) 822-3416
(858) 822-1849
Mailing address
10602 HUNTERS GLEN DR, SAN DIEGO, CA 92130-4849
(858) 755-7484
(858) 755-7484
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN493755
CA
363L00000X
Nurse Practitioner
8404
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
8404
NURSE PRACTITIONER LICENS
CA
Enumeration date
04/30/2007
Last updated
09/11/2025
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