Provider Demographics
NPI:1255085007
Name:IRBE, ANNIE LAURIE (MSN, APRN, AGACNP-BC)
Entity type:Individual
Prefix:MISS
First Name:ANNIE
Middle Name:LAURIE
Last Name:IRBE
Suffix:
Gender:F
Credentials:MSN, APRN, AGACNP-BC
Other - Prefix:
Other - First Name:ANNIE
Other - Middle Name:LAURIE
Other - Last Name:MIGUES
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:4209 COUNTY ROAD 182
Mailing Address - Street 2:
Mailing Address - City:ALVIN
Mailing Address - State:TX
Mailing Address - Zip Code:77511-7002
Mailing Address - Country:US
Mailing Address - Phone:409-256-3090
Mailing Address - Fax:
Practice Address - Street 1:4209 COUNTY ROAD 182
Practice Address - Street 2:
Practice Address - City:ALVIN
Practice Address - State:TX
Practice Address - Zip Code:77511-7002
Practice Address - Country:US
Practice Address - Phone:409-256-3090
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-02-10
Last Update Date:2024-09-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX1070205363LA2100X, 163WC0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2100XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAcute Care
No163WC0200XNursing Service ProvidersRegistered NurseCritical Care Medicine