Individual provider · Type 1 NPI

Ivy Lane Ziccarelli, PA-C

Physician Assistant · Matthews, NC

NPI number 1629434691 Active

Practice location

1401 Matthews Township Pkwy Ste 320
Matthews, NC 28105

Call (704) 384-1261 Map

Fax (704) 384-3145

Mailing address

PO Box 60447
Charlotte, NC 28260-0447

Other practice locations

  • 10801 Monroe Rd, Suite A, Matthews, NC 28105-8335 · (704) 237-4240
  • Novant Health Psychiatric Associates, 1401 Matthews Township Pkwy; Ste 320, Matthews, NC 28105-5403 · (704) 384-1261

Specialties and licenses

TaxonomyCodeLicense
Medical Physician Assistant 363AM0700XNone listed
Physician Assistant Primary 363A00000X0010-06261 (NC)

Physician Assistant: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, orde…

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About NPI 1629434691

Ivy Lane Ziccarelli, PA-C's National Provider Identifier is 1629434691, issued on Jan 6, 2016. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in Matthews, NC. The record was last updated on Oct 26, 2020.