Individual
MR. BENJAMIN IRVINE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
509 BILTMORE AVE, ASHEVILLE, NC 28801-4601
(828) 213-1111
Mailing address
63 WOODLAWN AVE, ASHEVILLE, NC 28801-2239
(419) 206-7286
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN.393168
OH
367500000X
Certified Registered Nurse Anesthetist
Primary
6428
NC
Other
Enumeration date
07/30/2020
Last updated
09/22/2020
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