Gloria Ann Ireland, RN MSN CNP CERTIFIED

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

4704136816 Issued in MI

Practice address

22101 Moross Road PB 1
Suite 332 St John Hospital & Medical Center
Detroit, MI 48236

Phone

(810) 794-0003

NPI assigned

Oct 5, 2006

Last updated

Jan 30, 2012By the provider in NPPES

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Certified Nurse Practitioner, Master of Science - Nursing, Registered Nurse

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1160006400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1327881600000",
    "number": "1366538480",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6345 GENAW ROAD",
            "city": "ALGONAC",
            "state": "MI",
            "postal_code": "48001",
            "telephone_number": "810-794-0003",
            "fax_number": "810-794-0003"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22101 MOROSS ROAD PB 1",
            "address_2": "SUITE 332 ST JOHN HOSPITAL & MEDICAL CENTER",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "48236",
            "telephone_number": "810-794-0003"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "IRELAND",
        "first_name": "GLORIA",
        "middle_name": "ANN",
        "name_prefix": "Mrs.",
        "credential": "RN MSN CNP CERTIFIED",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-05",
        "last_updated": "2012-01-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "MI",
            "license": "4704136816",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Irb Medical Equipment LLC (Hart Medical Equipment)
• Ronald Edward Irby, MA, LLPC
• Stacy Felicia Irby
• Precious Irechukwu
• Charles Ireland, PA-C
• Shamitta Delchelle Ireland
• Irise
• Irise Counseling Service LLC
• Ineka K Irish, CRNA
• Rebecca Irish, DPT

• Nurse Practitioner in Detroit, MI
• Providers in Detroit, MI by specialty
• Nurse Practitioner in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.