Individual provider · Type 1 NPI
Gwendolyn Ivy
Psychiatric/Mental Health Registered Nurse · Las Vegas, NV
NPI number
1053962522
Active
Practice location
5412 Boulder Hwy
Las Vegas, NV 89122-6039
Mailing address
9623 Bighorn Ranch Ave
Las Vegas, NV 89148-4221
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Psychiatric/Mental Health Registered Nurse Primary | 163WP0808X | 812191 (NV) |
Psychiatric/Mental Health Registered Nurse: Definition to come...
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About NPI 1053962522
Gwendolyn Ivy's National Provider Identifier is 1053962522, issued on Sep 25, 2019. The primary taxonomy on file is Psychiatric/Mental Health Registered Nurse (163WP0808X), and the practice location is in Las Vegas, NV. The record was last updated on Sep 25, 2019.