| NPI | 1831990662 |
|---|---|
| Doing Business As | IRVINGTON PRIMARY CARE |
| Entity Type | Organization |
| Authorized Contact | ANGELA FAYE PORTMAN CEO 270-756-6569 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 363L00000X Nurse Practitioner |
| Enumeration Date | 2025-03-19 |
| Last Update Date | 2025-03-19 |