Donna Marie Irish
Nurse Practitioner - Gerontology
1965 S Fremont Ave Suite 300
Springfield
, Missouri 65804-2201
Donna Marie Irish
Nurse Practitioner - Gerontology
1965 S Fremont Ave Suite 300
Springfield
, Missouri 65804-2201
(417) 885-0015
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About
Features
Specialties
- Nurse Practitioner - Gerontology
Languages spoken
- English
Location
First Address
- Donna Marie Irish
- 5087 S Clay Ave
- Springfield, MO
- Zip : 65810-2855
- Phone : (417) 885-0015
Second Address
- Donna Marie Irish
- 1965 S Fremont Ave Suite 300
- Springfield, MO
- Zip : 65804-2201
- Fax : (417) 820-7796
- Phone : (417) 820-2936
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FAQs
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 363LG0600X | Nurse Practitioner - Gerontology | RN 152510 | MO |
National Provider Identifier
| NPI | 1063575330 |
|---|---|
| Provider Name | Donna Marie Irish |
| First Address | Springfield, MO 65810-2855 |
| Second Address | Springfield, MO 65804-2201 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 18/12/2006 |
| Last Update Date | 10/07/2007 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 431560263149 | TRICARE PROVIDER NUMBER (01) | MO |
| P58530 | (02) | MO |
| RN152510 | RN LICENSE (01) | MO |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.