MEDICARE: IREANNA BER'SCHIRRA MORRALL RN

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
1	163W00000X	Registered Nurse	225281	SC

General Provider Information

NPI Number	:	1720658347
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	IREANNA BER'SCHIRRA MORRALL RN

Provider Business Mailing Address
First Line	:	476 CHANNING DR
Second Line	:
City	:	RICHMOND HILL
State	:	GA
Zip	:	31324-9370
Country	:	US
Telephone Number	:	843-424-7263
Fax Number	:

Provider Business Practice Location Address
First Line	:	6635 BASS RD BLDG 9214
Second Line	:
City	:	FORT BENNING
State	:	GA
Zip	:	31905-5602
Country	:	US
Telephone Number	:	706-257-7200
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/26/2021
Last Update Date	:	06/26/2021

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