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

TaxonomyCodeLicense
Home Health Registered Nurse Primary 163WH0200X95320076 (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.