Provider Demographics
NPI:1922987122
Name:POULIMAS, IRENE (RN)
Entity type:Individual
Prefix:MRS
First Name:IRENE
Middle Name:
Last Name:POULIMAS
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4468 GUILD DR APT 13-208
Mailing Address - Street 2:
Mailing Address - City:SPRING HILL
Mailing Address - State:FL
Mailing Address - Zip Code:34609-1021
Mailing Address - Country:US
Mailing Address - Phone:917-856-6912
Mailing Address - Fax:
Practice Address - Street 1:4468 GUILD DR APT 13-208
Practice Address - Street 2:
Practice Address - City:SPRING HILL
Practice Address - State:FL
Practice Address - Zip Code:34609-1021
Practice Address - Country:US
Practice Address - Phone:917-856-6912
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-09-01
Last Update Date:2025-09-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY369768-01163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse