Individual provider · Type 1 NPI

Cynthia Shaw Ivan, NP

Nurse Practitioner · El Paso, TX

NPI number 1205936689 Active

Practice location

1545 Goodyear Dr
El Paso, TX 79936-6063

Fax (915) 534-3043

Mailing address

1545 Goodyear Dr Ste D
El Paso, TX 79936-6063

Specialties and licenses

TaxonomyCodeLicense
Nurse Practitioner Primary 363L00000X630269 (TX)

Nurse Practitioner: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance wit…

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About NPI 1205936689

Cynthia Shaw Ivan, NP's National Provider Identifier is 1205936689, issued on Sep 25, 2006. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in El Paso, TX. The record was last updated on May 11, 2023.