Individual
MEGHAN IRISH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1336 N HARRISON AVE, SHAWNEE, OK 74801-5206
(405) 424-7711
Mailing address
1410 N PHILADELPHIA AVE, SHAWNEE, OK 74801-5126
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
30003896
LA
Other
Enumeration date
10/09/2023
Last updated
06/21/2025
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