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NPI Code Detail

MEDICARE: IRISH NADER APRN

MEDICARE: IRISH NADER APRN
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363LF0000XFamily Nurse PractitionerA004031AR
2363LF0000XFamily Nurse PractitionerAP139563TX

General Provider Information

NPI Number : 1912322579
Entity Type Code : Individual
Provider Name (Legal Business Name) : IRISH NADER APRN
Provider Business Mailing Address
First Line : 730 NORTH LOOP
Second Line :
City : HOUSTON
State : TX
Zip : 77009-1043
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 730 NORTH LOOP
Second Line :
City : HOUSTON
State : TX
Zip : 77009-1043
Country : US
Telephone Number : 832-932-9300
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/19/2014
Last Update Date : 03/29/2023

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Directions to “ IRISH NADER APRN” Practice Location

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