Individual provider · Type 1 NPI

Milica Ivanov, NP

Family Nurse Practitioner · Dyer, IN

NPI number 1003551979 Active

Practice location

1532 Calumet Ave
Dyer, IN 46311-1588

Mailing address

10110 Donald S Powers Dr, Suite 101D
Munster, IN 46321

Specialties and licenses

TaxonomyCodeLicense
Family Nurse Practitioner Primary 363LF0000X71012485A (IN)

Family Nurse Practitioner: Definition to come...

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About NPI 1003551979

Milica Ivanov, NP's National Provider Identifier is 1003551979, issued on May 4, 2022. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Dyer, IN. The record was last updated on May 4, 2022.