Irish, Donna Marie

Irish, Donna Marie is an individual health care provider with primary practice located at 1965 S Fremont Ave Suite 300, Springfield MO 65804-2201. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Gerontology, which is considered as her primary health care specialty. Irish, Donna Marie can be contacted via phone (417) 820-2936.

Contact Information

Primary practice address
1965 S Fremont Ave Suite 300 Springfield MO 65804-2201
Phone: (417) 820-2936
Fax: (417) 820-7796
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Gerontology 363LG0600X RN 152510 Missouri

Profile Details

NPI number 1063575330
LBN Legal business name Irish, Donna Marie
Credentials APRN-BC, GNP
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 18th, 2006
Last updated Jul 10th, 2007 - about 19 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1063575330 NPPES
Missouri Other 431560263149 TRICARE PROVIDER NUMBER
Missouri Other RN152510 TRICARE PROVIDER NUMBER

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