Iris Denise Fordham in Augusta - Licensed Practical Nurse
Iris Denise Fordham - NPI 1164616694
Iris Denise Fordham is a Licensed Practical Nurse in Augusta, Georgia. Iris Denise Fordham practices all healthcare services and medical treatments related to Licensed Practical Nurse. The NPI Number for Iris Denise Fordham is 1164616694. The last update date is 2007-08-28.
Iris Denise Fordham's current location address is 950 Laney Walker Blvd, Augusta, Georgia. You can contact this provider via phone number 7067215931. The mailing address for Iris Denise Fordham is 950 Laney Walker Blvd, Augusta, Georgia. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Iris Denise Fordham |
|---|---|
| Address | 950 Laney Walker Blvd, Augusta, Georgia |
| Phone Number | 7067215931 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | LPN |
NPI Number Detail
| NPI Number | 1164616694 |
|---|---|
| Provider Enumeration Date | 2007-08-28 |
| Last Updated Date | 2007-08-28 |
Provider Mailing Address Detail
| Address | 950 Laney Walker Blvd |
|---|---|
| City | Augusta |
| State | Georgia (GA) |
| Post Code | 309012960 |
| Phone Number | 7067215931 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Licensed Practical Nurse |
|---|---|
| Taxonomy | 164W00000X |
| Licence No | LPN040000 |
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Definition: An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job r |
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What is the unique 10-digit identification code issued to Iris Denise Fordham by the Centers for Medicare & Medicaid Services?
The Iris Denise Fordham has been assigned the NPI (National Provider Identifier) 1164616694 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Could you share the physical location details of Iris Denise Fordham?
The Iris Denise Fordham is situated at 950 Laney Walker Blvd, in the city of Augusta, state of GA, with the zip code 309012960.
What is Iris Denise Fordham's area of expertise and its corresponding taxonomy classification?
The Iris Denise Fordham's field of specialization is Licensed Practical Nurse, and it falls under the taxonomy code 164W00000X, which categorizes healthcare providers based on their areas of practice.
On what date did Iris Denise Fordham receive its 1164616694 assignment from the Centers for Medicare & Medicaid Services?
The Iris Denise Fordham was assigned its 1164616694 on 2007-08-28, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
When was the Iris Denise Fordham's information last updated?
The Iris Denise Fordham's information was last updated on 2007-08-28.