NPI 1417618562 · live from the CMS NPI Registry
Iris Gancinia Carreon, RN
Registered Nurse, Medical-Surgical in Tucker, GA. National Provider Identifier 1417618562, active.
NPI record
| NPI | 1417618562 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Registered Nurse, Medical-Surgical 163WM0705X |
| Practice location | 4486 Lashley Dr, Tucker, GA 30084 |
| Practice phone | 770-776-8859 |
| Enumerated | December 31, 2021 |
| Last updated | December 31, 2021 |
| Sole proprietor | No |
| Other names | Iris Gancinia |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Registered Nurse, Psych/Mental Health, Adult | 163WP0809X | RN237347 (GA) |
| Registered Nurse, Oncology | 163WX0200X | RN237347 (GA) |
| Registered Nurse, Medical-Surgical primary | 163WM0705X | RN237347 (GA) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.