Individual
MARY IRVINE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
110 N MAIN ST, GREENVILLE, PA 16125-1726
(724) 588-2100
Mailing address
65 POPLAR RD, GREENVILLE, PA 16125-9246
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
RN211680L
PA
Other
Enumeration date
05/20/2006
Last updated
05/24/2021
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