Provider Demographics
NPI:1043398340
Name:NAGIN, IRIS (RNP)
Entity Type:Individual
Prefix:MS
First Name:IRIS
Middle Name:
Last Name:NAGIN
Suffix:
Gender:F
Credentials:RNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:24 STEVENS ST
Mailing Address - Street 2:HOSPITALIST SUITE
Mailing Address - City:NORWALK
Mailing Address - State:CT
Mailing Address - Zip Code:06850-3852
Mailing Address - Country:US
Mailing Address - Phone:203-852-3072
Mailing Address - Fax:203-855-3781
Practice Address - Street 1:24 STEVENS ST
Practice Address - Street 2:HOSPITALIST SUITE
Practice Address - City:NORWALK
Practice Address - State:CT
Practice Address - Zip Code:06850-3852
Practice Address - Country:US
Practice Address - Phone:203-852-3072
Practice Address - Fax:203-855-3781
Is Sole Proprietor?:No
Enumeration Date:2006-11-02
Last Update Date:2022-08-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0024179095363LA2200X
NY3832885363LP2300X
NYF300957-1363LA2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health
No363LP2300XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPrimary Care
Provider Identifiers
StateIdentifier IDID TypeIssuer
NYPENDINGMedicaid
NYPENDINGMedicaid