Individual provider · Type 1 NPI

Tara Ivy, NNP

Neonatal Nurse Practitioner · Houston, TX

NPI number 1972853091 Active

Practice location

6701 Fannin St
Houston, TX 77030-2608

Call (832) 824-1000 Map

Mailing address

2 Greenway Plz Ste 300
Houston, TX 77046-0207

Specialties and licenses

Taxonomy	Code	License
Nurse Practitioner	363L00000X	676984 (TX)
Neonatal Nurse Practitioner Primary	363LN0000X	API120342 (TX)

Neonatal Nurse Practitioner: Definition to come...

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About NPI 1972853091

Tara Ivy, NNP's National Provider Identifier is 1972853091, issued on Sep 17, 2012. The primary taxonomy on file is Neonatal Nurse Practitioner (363LN0000X), and the practice location is in Houston, TX. The record was last updated on Feb 23, 2017.