Individual provider · Type 1 NPI

Matthew Fuller Irby, RN

Registered Nurse · Port Allen, LA

NPI number 1114589967 Active

Practice location

203 Allendale Dr
Port Allen, LA 70767-3219

Fax (225) 683-1310

Mailing address

PO Box 395
Clinton, LA 70722-0395

Specialties and licenses

TaxonomyCodeLicense
Registered Nurse Primary 163W00000XRN134213 (LA)

Registered Nurse: (1) A registered nurse is a person qualified by graduation from an accredited nursing school (depending upon schooling, a registered nurse may receive either a diploma from a hospital program, an associate degree in nursing (A.D.N.) or a Bachelor of Science degree in nursing (B.S.N.), who is licensed or certified by the state, and is practicing within the scope of that license or certification. R.N.'s assist patient…

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About NPI 1114589967

Matthew Fuller Irby, RN's National Provider Identifier is 1114589967, issued on Jul 2, 2019. The primary taxonomy on file is Registered Nurse (163W00000X), and the practice location is in Port Allen, LA. The record was last updated on Jul 2, 2019.