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IRENE CARR PHD FNP-BC CNM NPI 1801084405


NPI Information

NPI: 1801084405
Provider Name: IRENE CARR, PHD, FNP-BC, CNM
Classification: Nurse Practitioner - 363LF0000X
Entity Type: Individual

Specialization: Family

Address:
3020 CHILDREN'S WAY
SAN DIEGO, CA
ZIP 92123
Phone: (858) 966-1700
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Irene Carr, PHD, FNP-BC, CNM is a family nurse practitioner in San Diego, CA. Irene Carr, PHD, FNP-BC, CNM NPI is 1801084405. 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:

3020 CHILDREN'S WAY
SAN DIEGO, CA
ZIP 92123-223
Phone: (858) 966-1700
Fax: (858) 966-6723

The enumeration date for this NPI number is 10/9/2007 and was last updated on 11/18/2011.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1363LF0000XNurse PractitionerFamily14827CALIFORNIAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
16192804213OTHERCALIFORNIALA MAESTRA COMMUNITY HEALTH CENTER
2$$$$$$$$$MEDICAIDCALIFORNIA

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: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.