Individual provider · Type 1 NPI

Ivy Lee De Quiros, NURSE PRACTITIONER

Family Nurse Practitioner · Los Angeles, CA

NPI number 1831442763 Active

Practice location

1200 N State St
Los Angeles, CA 90033-1029

Specialties and licenses

TaxonomyCodeLicense
Family Nurse Practitioner Primary 363LF0000X21742 (CA)

Family Nurse Practitioner: Definition to come...

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About NPI 1831442763

Ivy Lee De Quiros, NURSE PRACTITIONER's National Provider Identifier is 1831442763, issued on Oct 16, 2012. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Los Angeles, CA. The record was last updated on Jul 24, 2014.