Individual provider · Type 1 NPI
Robert Charles Ivy, RN
Home Health Registered Nurse · Palm Desert, CA
NPI number
1396604120
Active
Practice location
78000 Fred Waring Dr
Palm Desert, CA 92211-9266
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Home Health Registered Nurse Primary | 163WH0200X | 95320076 (CA) |
Home Health Registered Nurse: Definition to come...
About NPI 1396604120
Robert Charles Ivy, RN's National Provider Identifier is 1396604120, issued on Jan 19, 2026. The primary taxonomy on file is Home Health Registered Nurse (163WH0200X), and the practice location is in Palm Desert, CA. The record was last updated on Jan 19, 2026.