Individual provider · Type 1 NPI

Abigail Dahl Ivie, CPNP

Pediatric Nurse Practitioner · Atlanta, GA

NPI number 1205154069 Active

Practice location

5455 Meridian Marks Rd NE, Suite 130
Atlanta, GA 30342-1654

Fax (404) 252-1901

Mailing address

1185L Davis Pl NW
Atlanta, GA 30318-7515

Specialties and licenses

TaxonomyCodeLicense
Pediatric Nurse Practitioner Primary 363LP0200XRN188532 NP (GA)

Pediatric Nurse Practitioner: Definition to come...

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About NPI 1205154069

Abigail Dahl Ivie, CPNP's National Provider Identifier is 1205154069, issued on May 4, 2010. The primary taxonomy on file is Pediatric Nurse Practitioner (363LP0200X), and the practice location is in Atlanta, GA. The record was last updated on Jul 15, 2013.