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MARCELINO EDUARDO IRIZARRY LPN
NPI 1174323133
Licensed Practical Nurse in Athens, GA

Active since March 18, 2025
240 MITCHELL BRIDGE RD, ATHENS, GA 30606(770) 910-9196 Get Directions Write a Review

NPPES record last updated: March 18, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Marcelino Eduardo Irizarry Lpn NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MARCELINO EDUARDO IRIZARRY LPN (NPI 1174323133) is an individual licensed practical nurse in Athens, Georgia, licensed in Georgia (077299) and active in the NPI registry since March 2025.

NPPES Registry Identity

NPI1174323133
Entity TypeIndividualMale
Primary Taxonomy164W00000X
Provider Legal NameMARCELINO EDUARDO IRIZARRYCredential: LPN
Location Address240 MITCHELL BRIDGE RDAthens, GA 30606-2043
Mailing Address311 Gwinnett DrLawrenceville, GA 30046-5671 · (770) 910-9196
Phone(770) 910-9196
Sole ProprietorYes
Enumeration DateMarch 18, 2025
NPPES CertifiedMarch 18, 2025
✔ NPI 1174323133 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyLicensed Practical NurseNursing Service Providers
Taxonomy Code164W00000X
License✔ Licensed in GA · 077299
Definition
A licensed practical nurse with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.
240 MITCHELL BRIDGE RD, Athens, GA 30606
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

FANIE WEHMANEN
Registered Nurse
240 MITCHELL BRIDGE RD
ATHENS, GA 30606
Clarke County (706) 612-6995
RENEE JOHNSON
Nurse Practitioner (Psychiatric/Mental Health)
240 MITCHELL BRIDGE RD
ATHENS, GA 30606
Clarke County (706) 389-6789
GRIFFIN BENJAMIN COLE LMSW
Social Worker
240 MITCHELL BRIDGE RD
ATHENS, GA 30606
Clarke County (706) 389-6789
MR. VITO CORTESE JR. RN
Registered Nurse (Psychiatric/Mental Health)
240 MITCHELL BRIDGE RD
ATHENS, GA 30606
Clarke County (855) 333-9544
OLIVIA BAILEY LPN
Licensed Practical Nurse
240 MITCHELL BRIDGE RD
ATHENS, GA 30606
Clarke County (706) 369-4575
MR. FRANK TICHORLA WAJULE
Nurse Practitioner (Psychiatric/Mental Health)
240 MITCHELL BRIDGE RD
ATHENS, GA 30606
Clarke County (888) 839-0743
VILLAGE DRUG SHOP AT ADVANTAGE LLC
Pharmacy (Community/Retail Pharmacy)
240 MITCHELL BRIDGE RD
ATHENS, GA 30606
Clarke County (706) 850-4955
KATHERINE REBECCA MEITZ
Case Manager/Care Coordinator
240 MITCHELL BRIDGE RD
ATHENS, GA 30606
Clarke County (706) 612-7562

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Marcelino Irizarry's NPI number?

The NPI number for Marcelino Irizarry is 1174323133. It was assigned to this individual provider in the NPPES registry on March 18, 2025.

Where is Marcelino Irizarry located?

Marcelino Irizarry practices at 240 Mitchell Bridge Rd, Athens, GA 30606. The listed phone number is (770) 910-9196.

What is Marcelino Irizarry's specialty?

The primary specialty registered for this NPI is Licensed Practical Nurse with taxonomy code 164W00000X.

When was this NPI record last updated?

The NPPES record for Marcelino Irizarry was last updated on March 18, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.