MRS. IRIS GANCINIA CARREON RN NPI 1417618562

NPI Information

NPI: 1417618562
Provider Name: MRS. IRIS GANCINIA CARREON, RN
Classification: Registered Nurse - 163WM0705X
Entity Type: Individual

Specialization: Medical-Surgical

Address:
4486 LASHLEY DR
TUCKER, GA
ZIP 30084
Phone: (770) 776-8859
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MRS. Iris Gancinia Carreon, RN is a medical-surgical registered nurse in Tucker, GA. MRS. Iris Gancinia Carreon, RN NPI is 1417618562. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

4486 LASHLEY DR
TUCKER, GA
ZIP 30084-750
Phone: (770) 776-8859

The enumeration date for this NPI number is 12/31/2021 and was last updated on 12/31/2021.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	163WP0809X	Registered Nurse	Psychiatric/Mental Health, Adult	RN237347	GEORGIA	No
2	163WM0705X	Registered Nurse	Medical-Surgical	RN237347	GEORGIA	Yes
3	163WX0200X	Registered Nurse	Oncology	RN237347	GEORGIA	No

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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