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NPI Code Detail

MEDICARE: CHERYL L IRWIN FNP

MEDICARE: CHERYL L IRWIN FNP
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 Practitioner18133SC

Medicare Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
2P01173503OTHERSCRR-MEDICARE

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1821336793
Entity Type Code : Individual
Provider Name (Legal Business Name) : CHERYL L IRWIN FNP
Provider Business Mailing Address
First Line : PO BOX 751649
Second Line :
City : CHARLOTTE
State : NC
Zip : 28275-1649
Country : US
Telephone Number : 843-789-1620
Fax Number : 843-724-2440
Provider Business Practice Location Address
First Line : 319 FOLLY RD
Second Line :
City : CHARLESTON
State : SC
Zip : 29412-2518
Country : US
Telephone Number : 843-203-2246
Fax Number : 843-203-2247
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/28/2013
Last Update Date : 10/30/2024

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