National Provider Identifier
Tia Nicole Irvin, LPN
Tia Nicole Irvin, LPN is listed in the NPPES registry with a primary specialty of Licensed Practical Nurse in Elmira, NY and a listed phone number of (607) 731-9160.
Profile Overview
- NPI
- 1316266067
- Provider Type
- Individual
- Primary Specialty
- Licensed Practical Nurse
- Enumeration Date
- May 20, 2010
- Last Updated
- May 20, 2010
Practice Location
- 463 Hathorn Ct
- Elmira, NY 14901-1163
Phone: (607) 731-9160
Specialties
- Licensed Practical Nurse (164W00000X)
Full Record
- NPI
- 1316266067
- Entity Type
- Individual
- Last Name
- Irvin
- First Name
- Tia
- Middle Name
- Nicole
- Credential
- LPN
- Mailing Street Address
- 463 Hathorn Ct
- Mailing City
- Elmira
- Mailing State
- NY
- Mailing ZIP Code
- 14901-1163
- Mailing Country
- US
- Mailing Phone
- (607) 731-9160
- Practice Street Address
- 463 Hathorn Ct
- Practice City
- Elmira
- Practice State
- NY
- Practice ZIP Code
- 14901-1163
- Practice Country
- US
- Practice Phone
- (607) 731-9160
- Enumeration Date
- May 20, 2010
- Last Updated
- May 20, 2010
- Sex
- Female
- Sole Proprietor
- Yes
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Licensed Practical Nurse (164W00000X)