Provider Demographics
NPI:1043611312
Name:IRION, WILLIAM (RN)
Entity Type:Individual
Prefix:MR
First Name:WILLIAM
Middle Name:
Last Name:IRION
Suffix:
Gender:M
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:109 ROGERS LN
Mailing Address - Street 2:
Mailing Address - City:PALATKA
Mailing Address - State:FL
Mailing Address - Zip Code:32177-8698
Mailing Address - Country:US
Mailing Address - Phone:863-991-0095
Mailing Address - Fax:
Practice Address - Street 1:109 ROGERS LN
Practice Address - Street 2:
Practice Address - City:PALATKA
Practice Address - State:FL
Practice Address - Zip Code:32177-8698
Practice Address - Country:US
Practice Address - Phone:863-991-0095
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2014-09-05
Last Update Date:2016-06-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLRN1801282163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse