Individual provider · Type 1 NPI

January Dawn Ivancic

Family Nurse Practitioner · El Paso, TX

NPI number 1730868993 Active

Practice location

1205 N Oregon St
El Paso, TX 79902-4023

Mailing address

156 Sand Drift Pl
El Paso, TX 79928-9113

Specialties and licenses

TaxonomyCodeLicense
Infectious Disease Physician 207RI0200X1093395139 (TX)
Family Nurse Practitioner Primary 363LF0000X1137078 (TX)

Family Nurse Practitioner: Definition to come...

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About NPI 1730868993

January Dawn Ivancic's National Provider Identifier is 1730868993, issued on Jul 14, 2023. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in El Paso, TX. The record was last updated on Oct 6, 2023.