Individual provider · Type 1 NPI
Ivy Mutibura, NP
Adult Health Nurse Practitioner · New York, NY
NPI number
1881309995
Active
Practice location
240 E 38th St
New York, NY 10016-2708
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Adult Health Nurse Practitioner Primary | 363LA2200X | F311010-01 (NY) |
Adult Health Nurse Practitioner: Definition to come...
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About NPI 1881309995
Ivy Mutibura, NP's National Provider Identifier is 1881309995, issued on Jan 23, 2023. The primary taxonomy on file is Adult Health Nurse Practitioner (363LA2200X), and the practice location is in New York, NY. The record was last updated on Jan 23, 2026.