Individual
TACIE IRELAND
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
245 S GRAND AVE, BURNS, OR 97720-1964
(808) 289-6149
Mailing address
245 S GRAND AVE, BURNS, OR 97720-1964
(808) 289-6149
Taxonomy
Speciality
Code
Description
License number
State
163WG0000X
General Practice Registered Nurse
Primary
111874
HI
Other
Enumeration date
06/01/2026
Last updated
06/01/2026
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