Dauphinee, Irina

Dauphinee, Irina is an individual health care provider with primary practice located at 425 Lake Ave N Ste 101 , Worcester MA 01605-2073. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Family, Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health. Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health is her primary health care specialty. Dauphinee, Irina can be contacted via phone (508) 753-3220.

Contact Information

Primary practice address
425 Lake Ave N Ste 101 Worcester MA 01605-2073
Phone: (508) 753-3220
Fax: (508) 753-3224
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X RN268466 Massachusetts
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X RN268466 Massachusetts

Profile Details

NPI number 1417132259
LBN Legal business name Dauphinee, Irina
Credentials PMHNP, FNP
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 28th, 2007
Last updated Sep 11th, 2022 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1417132259 NPPES
Massachusetts MEDICAID 110087775A

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