Individual provider · Type 1 NPI

Mellissa Sue Ivy, ARNP

Gerontology Nurse Practitioner · Spokane, WA

NPI number 1730815960 Active

Practice location

101 W 8th Ave
Spokane, WA 99204-2307

Mailing address

PO Box 421
Liberty Lake, WA 99019-0421

Other practice locations

  • 800 W 5th Ave, Spokane, WA 99204-2803 · (509) 838-2531
  • 3269 N Stockton Hill Rd, Kingman, AZ 86409-3619 · (928) 757-2101

Specialties and licenses

TaxonomyCodeLicense
Internal Medicine Physician 207R00000X61216242 (WA)
Acute Care Nurse Practitioner 363LA2100XAP61216242 (WA)
Family Nurse Practitioner 363LF0000XAP61216242 (WA)
Gerontology Nurse Practitioner Primary 363LG0600XAP61216242 (WA)

Gerontology Nurse Practitioner: Definition to come...

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About NPI 1730815960

Mellissa Sue Ivy, ARNP's National Provider Identifier is 1730815960, issued on Jul 29, 2022. The primary taxonomy on file is Gerontology Nurse Practitioner (363LG0600X), and the practice location is in Spokane, WA. The record was last updated on May 2, 2024.