National Provider Identifier
Tracie Celeste Irvin, LPN
Tracie Celeste Irvin, LPN is listed in the NPPES registry with a primary specialty of Licensed Practical Nurse in Rochester, NY and a listed phone number of (585) 328-2413.
Source: public NPPES record, last updated July 09, 2007. This profile is informational and is not medical advice, a quality rating, or a provider recommendation.
Profile Overview
- NPI
- 1073659868
- Provider Type
- Individual
- Primary Specialty
- Licensed Practical Nurse
- Enumeration Date
- January 29, 2007
- Last Updated
- July 09, 2007
Practice Location
- 69 Enterprise St
- Rochester, NY 14619-2050
Phone: (585) 328-2413
Specialties
- Licensed Practical Nurse (164W00000X)
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Biography
Tracie Celeste Irvin is a Rochester-based licensed practical nurse with a long-standing New York practical nursing credential, issued in 1990.
Full Record
- NPI
- 1073659868
- Entity Type
- Individual
- Last Name
- Irvin
- First Name
- Tracie
- Middle Name
- Celeste
- Name Prefix
- MS.
- Credential
- LPN
- Mailing Street Address
- 69 Enterprise St
- Mailing City
- Rochester
- Mailing State
- NY
- Mailing ZIP Code
- 14619-2050
- Mailing Country
- US
- Mailing Phone
- (585) 328-2413
- Mailing Fax
- (585) 328-2413
- Practice Street Address
- 69 Enterprise St
- Practice City
- Rochester
- Practice State
- NY
- Practice ZIP Code
- 14619-2050
- Practice Country
- US
- Practice Phone
- (585) 328-2413
- Practice Fax
- (585) 328-2413
- Enumeration Date
- January 29, 2007
- Last Updated
- July 09, 2007
- Sex
- Female
- Sole Proprietor
- Yes
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Licensed Practical Nurse (164W00000X)
- Other Identifiers
- 02291601 (NY)