Individual provider · Type 1 NPI

Andrea E. Ivy, N.P.

Family Nurse Practitioner · Bridgeton, MO

NPI number 1649220104 Active

Practice location

12800 Boenker Ln
Bridgeton, MO 63044-2438

Fax (314) 551-0336

Specialties and licenses

TaxonomyCodeLicense
Family Nurse Practitioner Primary 363LF0000X137743 (MO)

Family Nurse Practitioner: Definition to come...

8 other providers at this address

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About NPI 1649220104

Andrea E. Ivy, N.P.'s National Provider Identifier is 1649220104, issued on May 12, 2006. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Bridgeton, MO. The record was last updated on Jul 14, 2014.