National Provider Identifier

Chiquita Irvin

Chiquita Irvin is listed in the NPPES registry with a primary specialty of Licensed Practical Nurse in Newark, NY and a listed phone number of (315) 879-7780.

NPI 1649647595Newark, NYLicensed Practical Nurse

Profile Overview

NPI
1649647595
Provider Type
Individual
Primary Specialty
Licensed Practical Nurse
Enumeration Date
August 26, 2015
Last Updated
August 26, 2015

Practice Location

  • 201 E Maple Ave
  • Newark, NY 14513-1949

Phone: (315) 879-7780

Specialties

  • Licensed Practical Nurse (164W00000X)
Full Record
NPI
1649647595
Entity Type
Individual
Last Name
Irvin
First Name
Chiquita
Mailing Street Address
201 E Maple Ave
Mailing City
Newark
Mailing State
NY
Mailing ZIP Code
14513-1949
Mailing Country
US
Mailing Phone
(315) 879-7780
Practice Street Address
201 E Maple Ave
Practice City
Newark
Practice State
NY
Practice ZIP Code
14513-1949
Practice Country
US
Practice Phone
(315) 879-7780
Enumeration Date
August 26, 2015
Last Updated
August 26, 2015
Sex
Female
Sole Proprietor
Yes
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Licensed Practical Nurse (164W00000X)