Individual
SUSAN ELIZABETH IRELAND
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
167 NORTH MAIN ST., TUBA CITY, AZ 86045
(928) 283-2501
Mailing address
299 BURFORD STREET, NEWMARKET, ONTARIO L3Y6E-7
(905) 836-7423
Taxonomy
Speciality
Code
Description
License number
State
163WM0705X
Medical-Surgical Registered Nurse
Primary
RN143812
AZ
Other
Enumeration date
03/30/2007
Last updated
07/08/2007
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