Individual provider · Type 1 NPI

Kelly Kathleen Forster Ivy, CNM, WHNP-BC

Nurse Practitioner · Lake Forest, IL

NPI number 1649514316 Active

Practice location

900 N Westmoreland Rd Ste 112
Lake Forest, IL 60045

Fax (847) 615-2260

Specialties and licenses

TaxonomyCodeLicense
Advanced Practice Midwife 367A00000X209009824 (IL)
Nurse Practitioner Primary 363L00000X277001068 (IL)
Inpatient Obstetric Registered Nurse 163WX0003X041369474 (IL)

Nurse Practitioner: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance wit…

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About NPI 1649514316

Kelly Kathleen Forster Ivy, CNM, WHNP-BC's National Provider Identifier is 1649514316, issued on Nov 19, 2012. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Lake Forest, IL. The record was last updated on Aug 5, 2024.