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Donna Marie Irish, APRN-BC,GNP
Gerontology Nurse Practitioner in Springfield, Missouri
NPI 1063575330

Donna Marie Irish is a Gerontology Nurse Practitioner based in Springfield, MO and is specialized in Gerontology. Donna Marie Irish practices in Springfield, MO and has the professional credentials of APRN-BC,GNP. The NPI Number for Donna Marie Irish is 1063575330 and holds a License No. RN 152510 (Missouri).

The current practice location address for Donna Marie Irish is 1965 S Fremont Ave, Springfield, MO and can be reached out via phone at 417-820-2936 and via fax at 417-820-7796.

Location: 1965 S Fremont Ave, Springfield, MO, 65810-2855
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Provider Profile Details
NPI Number
1063575330
Provider Name
Donna Marie Irish
Credential
APRN-BC,GNP
Provider Entity Type
Individual
Gender
Female
Address
1965 S Fremont Ave, Springfield, MO, 65810-2855
Phone Number
417-820-2936
Fax Number
417-820-7796
Provider Enumeration Date
12/18/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
431560263149 01 MO TRICARE PROVIDER NUMBER
RN152510 01 MO RN LICENSE
institution
Provider Business Practice Location Address Details
Address
1965 S Fremont Ave
City
State
Zip
65804-2201
Phone Number
417-820-2936
Fax Number
417-820-7796
person
Provider Business Mailing Address Details
Address
1965 S Fremont Ave
City
State
Zip
65804-2201
Phone Number
417-820-2936
Fax Number
417-820-7796
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Gerontology
Taxonomy
License No.
RN 152510 (Missouri)
Definition
Definition to come...
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