Individual provider · Type 1 NPI

Dustin Brant Ivanic, FNP-C

Family Nurse Practitioner · Tempe, AZ

NPI number 1497294748 Active

Practice location

3255 S Rural Rd
Tempe, AZ 85282-3853

Mailing address

2620 Elm Hill Pike
Nashville, TN 37214-3108

Specialties and licenses

TaxonomyCodeLicense
Family Nurse Practitioner Primary 363LF0000XAP9722 (AZ)

Family Nurse Practitioner: Definition to come...

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About NPI 1497294748

Dustin Brant Ivanic, FNP-C's National Provider Identifier is 1497294748, issued on Feb 20, 2017. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Tempe, AZ. The record was last updated on Feb 20, 2017.