Individual
SCOTT IRWIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
2900 LAMBS CIRCLE RD, RADFORD, VA 24141
(540) 731-2800
Mailing address
24 GRANDVIEW DR, RADFORD, VA 24141-3720
(540) 392-9150
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
0024166157
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
010074177
—
VA
05
—
010074452
—
VA
05
—
010074487
—
VA
05
—
010074495
—
VA
05
—
010074525
—
VA
Enumeration date
07/10/2006
Last updated
05/19/2008
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