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Deidra Irvin, FNP-C
Family Nurse Practitioner in Elizabethtown, Kentucky
NPI 1871099044

Deidra Irvin is a Family Nurse Practitioner based in Elizabethtown, KY and is specialized in Family. Deidra Irvin practices in Elizabethtown, KY and has the professional credentials of FNP-C. The NPI Number for Deidra Irvin is 1871099044 and holds a License No. 3012243 (Kentucky).

The current practice location address for Deidra Irvin is 2412 Ring Rd Ste 100, Elizabethtown, KY and can be reached out via phone at 270-769-2273.

Location: 2412 Ring Rd Ste 100, Elizabethtown, KY, 42701-5912
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1871099044
Provider Name
Deidra Irvin
Credential
FNP-C
Provider Entity Type
Individual
Gender
Female
Address
2412 Ring Rd Ste 100, Elizabethtown, KY, 42701-5912
Phone Number
270-769-2273
Fax Number
Provider Enumeration Date
04/05/2018
Last Update Date
04/13/2024
institution
Provider Business Practice Location Address Details
Address
2412 Ring Rd Ste 100
City
Elizabethtown
State
Kentucky
Zip
42701-5912
Phone Number
270-769-2273
Fax Number
person
Provider Business Mailing Address Details
Address
2412 Ring Rd Ste 100
City
Elizabethtown
State
Kentucky
Zip
42701-5912
Phone Number
270-769-2273
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
363LF0000X
License No.
3012243 (Kentucky)
Definition
Definition to come...
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