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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

IRENE ELSIE BROCK, REGISTERED NURSE

Active Sole Proprietor

IRENE ELSIE BROCK, REGISTERED NURSE is a Hemodialysis Nurse healthcare provider located in LUCEDALE, Mississippi. NPI 1659968360 is currently active in the NPPES registry. Verify at CMS.

Hemodialysis Nurse · LUCEDALE, MS

Registration Details

NPI Number
1659968360
Provider Type
Individual
Gender
Female
NPI Issued
Dec 29, 2020 (5.5838996244951 yrs)
Last Updated
Dec 29, 2020
License
R850912 (MS)
Sole Proprietor
Yes

Practice Information

Address
137 BROCK RD
LUCEDALE, MS, 394524665
Browse MS providers · Browse ZIP 39452
Phone
6015083435
Primary Specialty
Hemodialysis Nurse
163WH0500X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.