Individual provider · Type 1 NPI

Donna Marie Irish, APRN-BC, GNP

Gerontology Nurse Practitioner · Springfield, MO

NPI number 1063575330 Active

Practice location

1965 S Fremont Ave, Suite 300
Springfield, MO 65804-2201

Call (417) 820-2936 Map

Fax (417) 820-7796

Mailing address

5087 S Clay Ave
Springfield, MO 65810-2855

Specialties and licenses

TaxonomyCodeLicense
Gerontology Nurse Practitioner Primary 363LG0600XRN 152510 (MO)

Gerontology Nurse Practitioner: Definition to come...

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About NPI 1063575330

Donna Marie Irish, APRN-BC, GNP's National Provider Identifier is 1063575330, issued on Dec 18, 2006. The primary taxonomy on file is Gerontology Nurse Practitioner (363LG0600X), and the practice location is in Springfield, MO. The record was last updated on Jul 10, 2007.