Individual provider · Type 1 NPI

Dina Louise Ivy, LPN

Licensed Practical Nurse · Highland Park, MI

NPI number 1235099078 Active

Practice location

245 Pitkin St
Highland Park, MI 48203-3737

Mailing address

170 Moss St
Highland Park, MI 48203-2712

Specialties and licenses

TaxonomyCodeLicense
Licensed Practical Nurse Primary 164W00000X4703122032 (MI)

Licensed Practical Nurse: An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.

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About NPI 1235099078

Dina Louise Ivy, LPN's National Provider Identifier is 1235099078, issued on Nov 14, 2025. The primary taxonomy on file is Licensed Practical Nurse (164W00000X), and the practice location is in Highland Park, MI. The record was last updated on Nov 14, 2025.