Individual provider · Type 1 NPI

Ivy Nyasuguta Mageto, MD

Student in an Organized Health Care Education/Training Program · Everett, WA

NPI number 1710824545 Active

Practice location

1321 Colby Ave Ste B4 Providence-Wsu Internal Residency
Everett, WA 98201

Call (425) 297-5234 Map

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1710824545

Ivy Nyasuguta Mageto, MD's National Provider Identifier is 1710824545, issued on Apr 30, 2026. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Everett, WA. The record was last updated on Oct 26, 2026.