Individual
NETTIE O. L. IRWIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1650 COWLES ST, FAIRBANKS, AK 99701-5907
(907) 459-3520
(907) 459-3554
Mailing address
PO BOX 73720, FAIRBANKS, AK 99707-3720
(907) 459-3520
(907) 459-3554
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
12974710-1205
UT
208000000X
Pediatrics Physician
Primary
228059
AK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1752819
—
AK
Enumeration date
04/03/2021
Last updated
06/12/2025
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