IndividualActive
Eagle Scout Irwin
NPI 1689453615 · Peer Specialist · Bismarck, ND
Provider details
- NPI number
- 1689453615
- Entity type
- Individual
- Primary specialty
- Peer SpecialistOther Service Providers
- Sex
- Male
- Sole proprietor
- No
- License
- 00000 (ND)
Specialties & taxonomies
Other Service Providers
Practice location
1308 Elbowood Ln
Bismarck, ND 58503-5712
Phone: (701) 751-8260
Fax: (701) 751-2274
Approximate (ZIP-level) locationGet directions
Mailing address
1308 Elbowood Ln
Bismarck, ND 58503-5712
Registry dates
- Enumerated
- 2023-09-28
- Last updated
- 2023-09-28
- Certified
- 2023-09-28
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.