Individual provider · Type 1 NPI
Irene Elsie Brock, REGISTERED NURSE
Hemodialysis Registered Nurse · Lucedale, MS
NPI number
1659968360
Active
Practice location
137 Brock Rd
Lucedale, MS 39452-4665
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Hemodialysis Registered Nurse Primary | 163WH0500X | R850912 (MS) |
Hemodialysis Registered Nurse: Definition to come...
About NPI 1659968360
Irene Elsie Brock, REGISTERED NURSE's National Provider Identifier is 1659968360, issued on Dec 29, 2020. The primary taxonomy on file is Hemodialysis Registered Nurse (163WH0500X), and the practice location is in Lucedale, MS. The record was last updated on Dec 29, 2020.