Healthcare Provider Details

I. General information

NPI: 1669532354
Provider Name (Legal Business Name): NORAH ISABEL IRIZARRY RRT
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 12/11/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

JAMES A. HALEY VAMC 1300 BRUCE B DOWNS BLVD
TAMPA FL
33612
US

IV. Provider business mailing address

1401 PINEY BRANCH CIR
VALRICO FL
33594-4916
US

V. Phone/Fax

Practice location:
  • Phone: 813-972-2000
  • Fax: 813-979-3606
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code227900000X
TaxonomyRegistered Respiratory Therapist
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: