NPI 1003100975

Walter Duane Irvin, LPN

Practitioner Licensed Practical Nurse Portsmouth, OH

Practice location

Address: 410 Campbell Ave, Portsmouth, OH 45662-4465
Phone: (740) 354-9051

Registered specialties

Licensed Practical Nurse Primary

Nursing Service Providers Taxonomy 164W00000X Licence PN.142391-M-IV (OH)

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Registry record

NPI: 1003100975
Entity type: Individual
Sex (as registered): Male
NPI issued: 8 Jun 2011
Record last updated: 8 Jun 2011

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.