Individual provider · Type 1 NPI
Molly McKay Ivy
Gerontology Nurse Practitioner · Alexandria, LA
NPI number
1043986532
Active
Practice location
211 4th St
Alexandria, LA 71301-8421
Mailing address
3901A Spicewood Springs Rd Ste 201
Austin, TX 78759-8728
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Gerontology Nurse Practitioner Primary | 363LG0600X | 221578 (LA) |
Gerontology Nurse Practitioner: Definition to come...
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About NPI 1043986532
Molly McKay Ivy's National Provider Identifier is 1043986532, issued on Aug 17, 2021. The primary taxonomy on file is Gerontology Nurse Practitioner (363LG0600X), and the practice location is in Alexandria, LA. The record was last updated on Aug 17, 2021.