NPI 1164616694

Iris Denise Fordham, LPN

Practitioner Licensed Practical Nurse Augusta, GA

Practice location

Address: 950 Laney Walker Blvd, Augusta, GA 30901-2960
Phone: (706) 721-5931

Registered specialties

Licensed Practical Nurse Primary

Nursing Service Providers Taxonomy 164W00000X Licence LPN040000 (GA)

Other Licensed Practical Nurse providers in Georgia →

Registry record

NPI: 1164616694
Entity type: Individual
Sex (as registered): Female
NPI issued: 28 Aug 2007
Record last updated: 28 Aug 2007

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.