Individual
JOANN IRVING
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
A.R.N.P.
Contact information
Practice address
13823 TAMIAMI TRL, NORTH PORT, FL 34287-2069
(941) 888-0770
(941) 888-0778
Mailing address
2675 WINKLER AVE, FL 2, FORT MYERS, FL 33901-9342
(877) 856-3774
(239) 599-2625
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
ARNP9216693
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
Y084R
FL BC
FL
Enumeration date
05/19/2006
Last updated
08/26/2020
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