Individual provider · Type 1 NPI
Cheryl Lee Ivie
Adult Health Nurse Practitioner · Inkster, MI
NPI number
1366944837
Active
Practice location
2700 Hamlin Blvd
Inkster, MI 48141-2206
Fax (313) 565-0309
Mailing address
1037 16th Street
Wyandotte, MI 48192
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Adult Health Nurse Practitioner Primary | 363LA2200X | 4704248024 (MI) |
| Gerontology Nurse Practitioner | 363LG0600X | 4704248024 (MI) |
Adult Health Nurse Practitioner: Definition to come...
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About NPI 1366944837
Cheryl Lee Ivie's National Provider Identifier is 1366944837, issued on Mar 1, 2018. The primary taxonomy on file is Adult Health Nurse Practitioner (363LA2200X), and the practice location is in Inkster, MI. The record was last updated on May 20, 2026.