Provider Demographics
NPI:1700246279
Name:JAMES, JOHN IRWIN (RN BSN)
Entity type:Individual
Prefix:MR
First Name:JOHN
Middle Name:IRWIN
Last Name:JAMES
Suffix:
Gender:M
Credentials:RN BSN
Other - Prefix:
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Mailing Address - Street 1:384 DESERT TRAIL DR
Mailing Address - Street 2:
Mailing Address - City:SIERRA VISTA
Mailing Address - State:AZ
Mailing Address - Zip Code:85635-4430
Mailing Address - Country:US
Mailing Address - Phone:520-249-4539
Mailing Address - Fax:520-533-2203
Practice Address - Street 1:2240 E. WINROW AVENUE
Practice Address - Street 2:
Practice Address - City:FORT HUACHUCA
Practice Address - State:AZ
Practice Address - Zip Code:85613-7079
Practice Address - Country:US
Practice Address - Phone:520-533-5263
Practice Address - Fax:520-533-2203
Is Sole Proprietor?:Yes
Enumeration Date:2016-02-26
Last Update Date:2016-02-26
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
AZRN157855163WP2201X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WP2201XNursing Service ProvidersRegistered NurseAmbulatory Care