Provider Demographics
NPI:1528227741
Name:IRWIN, ANN WALSH (OD)
Entity Type:Individual
Prefix:DR
First Name:ANN
Middle Name:WALSH
Last Name:IRWIN
Suffix:
Gender:F
Credentials:OD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8 SEXTON AVE
Mailing Address - Street 2:
Mailing Address - City:NASHUA
Mailing Address - State:NH
Mailing Address - Zip Code:03060-5244
Mailing Address - Country:US
Mailing Address - Phone:603-888-8117
Mailing Address - Fax:603-888-7458
Practice Address - Street 1:8 SEXTON AVE
Practice Address - Street 2:
Practice Address - City:NASHUA
Practice Address - State:NH
Practice Address - Zip Code:03060-5244
Practice Address - Country:US
Practice Address - Phone:603-888-8117
Practice Address - Fax:603-888-7458
Is Sole Proprietor?:Yes
Enumeration Date:2008-06-03
Last Update Date:2008-06-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NH574152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist