Katie Jean Irwin, RN
Individual provider Active NPI Registered Nurse · Stryker, OH
NPI 1972143063 · NPPES record last updated Oct 7, 2022
Key facts
- NPI
- 1972143063
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Registered Nurse 163W00000X
- License
- 506017 (OH)
- Practice address
- 210 W Allison St
Stryker, OH 43557-9534 - Phone
- (419) 980-3463
- NPI assigned
- Jan 7, 2020
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 506017 | OH | MD | Registered Nurse |
| 169147 | OH | MD | Licensed Practical Nurse |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Licensed Practical Nurse | 164W00000X | 169147 | OH | |
| Registered Nurse | 163W00000X | 506017 | OH | Yes |
Addresses
Primary practice location
210 W Allison St
Stryker, OH 43557-9534
Mailing address
210 W Allison St
Stryker, OH 43557-9534
Phone (419) 980-3463
Other providers in Stryker, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 7, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.