Individual
IRMA NYACK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN,BSN,MBA
Contact information
Practice address
606 WEST AVE, CLERMONT, FL 34711-2175
(407) 484-2303
(407) 258-8225
Mailing address
1130 LAKE WHITNEY DR, WINDERMERE, FL 34786-6070
(407) 484-2303
(407) 258-8225
Taxonomy
Speciality
Code
Description
License number
State
373H00000X
Day Training/Habilitation Specialist
Primary
—
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
002455400
—
FL
Enumeration date
09/15/2010
Last updated
09/15/2010
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