Individual provider · Type 1 NPI
Rachel Spencer Ivanov, MSN, APRN, PMHNP
Psychiatric/Mental Health Nurse Practitioner · New Braunfels, TX
NPI number
1053916379
Active
Practice location
705 Landa St Ste C
New Braunfels, TX 78130-6163
Fax (210) 855-9300
Mailing address
4004 Halfway Cv
Round Rock, TX 78681-1005
Other practice locations
- 4004 Halfway Cv, Round Rock, TX 78681-1005 · (512) 591-6841
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Psychiatric/Mental Health Registered Nurse | 163WP0808X | 902941 (TX) |
| Psychiatric/Mental Health Nurse Practitioner Primary | 363LP0808X | 1030787 (TX) |
Psychiatric/Mental Health Nurse Practitioner: Definition to come...
3 other providers at this address
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About NPI 1053916379
Rachel Spencer Ivanov, MSN, APRN, PMHNP's National Provider Identifier is 1053916379, issued on Dec 3, 2020. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in New Braunfels, TX. The record was last updated on Oct 3, 2022.