Individual provider · Type 1 NPI
Ivy Nieh, NP
Pediatric Nurse Practitioner · Los Angeles, CA
NPI number
1205478336
Active
Practice location
4650 W Sunset Blvd
Los Angeles, CA 90027-6062
Mailing address
7165 Mystic Cloud Ct
Eastvale, CA 92880-3292
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Pediatric Nurse Practitioner Primary | 363LP0200X | 95012900 (CA) |
Pediatric Nurse Practitioner: Definition to come...
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About NPI 1205478336
Ivy Nieh, NP's National Provider Identifier is 1205478336, issued on Oct 9, 2019. The primary taxonomy on file is Pediatric Nurse Practitioner (363LP0200X), and the practice location is in Los Angeles, CA. The record was last updated on Oct 9, 2019.