MR. Matthew Fuller Irby, RN
NPI #1114589967 in Port Allen, Louisiana
Provider Information
- NPI Number
- 1114589967
- Entity Type
- Individual
- Name
- MR. Matthew Fuller Irby, RN
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Registered Nurse
- Credential
- RN
- Enumeration Date
- Jul 2, 2019
- Last Updated
- Jul 2, 2019
Practice Location
- Address
- 203 ALLENDALE DR
- City
- Port Allen
- State
- Louisiana
- ZIP Code
- 70767-3219
- Phone
- (225) 389-1311
Specialties & Taxonomy Codes
| Specialty |
|---|
| Registered Nurse |
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