Ms Agnes Clarissa Kirby, is a
Licensed Practical Nurse based in Ridgefield, Connecticut. Ms Agnes Clarissa Kirby is licensed to practice in Nevada (license number 847340) and her current practice location is
6b Barry Ave, Ridgefield, Connecticut. She can be reached at her office (for appointments etc.) via phone at
(203) 431-0525.
NPI number for Ms Agnes Clarissa Kirby is 1396101705 and her current mailing address is 4040 S Eastern Ave Ste 300, Las Vegas, Nevada. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1396101705.
Provider's Profile
| Full Name | Ms Agnes Clarissa Kirby |
|---|
| Gender | Female |
|---|
| Speciality | Licensed Practical Nurse |
|---|
| Location | 6b Barry Ave, Ridgefield, Connecticut |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
|---|
NPI Data:
- NPI Number: 1396101705
- Provider Enumeration Date: 01/14/2016
- Last Update Date: 01/09/2024
Medical Identifiers
Medical identifiers for Ms Agnes Clarissa Kirby such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1396101705 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 164W00000X | Licensed Practical Nurse | 847340 (Nevada) | Primary |
| 164W00000X | Licensed Practical Nurse | 324269 (New York) | Secondary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Ms Agnes Clarissa Kirby is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Ms Agnes Clarissa Kirby,
4040 S Eastern Ave Ste 300,
Las Vegas, NV 89119-0854
Ph: (702) 463-0300 | Ms Agnes Clarissa Kirby,
6b Barry Ave,
Ridgefield, CT 06877-4424
Ph: (203) 431-0525 |
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