Individual
MARISA IRWIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
3922 LOVERS LN, RAVENNA, OH 44266
(330) 673-1347
(330) 678-3677
Mailing address
5982 RHODES RD, KENT, OH 44240-4128
(330) 673-1347
(330) 678-3677
Taxonomy
Speciality
Code
Description
License number
State
163WP0808X
Psychiatric/Mental Health Registered Nurse
Primary
RN.397859
OH
164W00000X
Licensed Practical Nurse
PN.129672-M-IV
OH
Other
Enumeration date
05/23/2012
Last updated
08/14/2018
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