Individual provider · Type 1 NPI

Michele A. Ivanic, FNP-C

Nurse Practitioner · Overland Park, KS

NPI number 1316449200 Active

Practice location

6730 W 121st St
Overland Park, KS 66209

Call (913) 307-0044 Map

Mailing address

6720 W 121st St
Overland Park, KS 66209-2002

Other practice locations

  • 6730 W 121st St, Overland Park, KS 66209 · (913) 307-0044

Specialties and licenses

TaxonomyCodeLicense
Nurse Practitioner 363L00000X209017010 (IL)
Nurse Practitioner Primary 363L00000X53-78722-122 (KS)

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…

8 other providers at this address

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About NPI 1316449200

Michele A. Ivanic, FNP-C's National Provider Identifier is 1316449200, issued on Mar 6, 2018. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Overland Park, KS. The record was last updated on Sep 22, 2019.