Provider Demographics
NPI:1730425539
Name:CARVER, IRMA
Entity type:Individual
Prefix:
First Name:IRMA
Middle Name:
Last Name:CARVER
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7936 MAZATLAN DR
Mailing Address - Street 2:
Mailing Address - City:EL PASO
Mailing Address - State:TX
Mailing Address - Zip Code:79915-2229
Mailing Address - Country:US
Mailing Address - Phone:404-718-0981
Mailing Address - Fax:915-222-8445
Practice Address - Street 1:7936 MAZATLAN DR
Practice Address - Street 2:
Practice Address - City:EL PASO
Practice Address - State:TX
Practice Address - Zip Code:79915-2229
Practice Address - Country:US
Practice Address - Phone:404-718-0981
Practice Address - Fax:915-222-8445
Is Sole Proprietor?:Yes
Enumeration Date:2012-12-26
Last Update Date:2012-12-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374U00000XNursing Service Related ProvidersHome Health Aide