Lisa M Ivy is a Acute Care in Little Rock, Arkansas. Lisa M Ivy practices all healthcare services and medical treatments related to Acute Care. The NPI Number for Lisa M Ivy is 1033103296. The last update date is 2010-02-16.
Lisa M Ivy's current location address is 7 Shackleford West Blvd, Little Rock, Arkansas. You can contact this provider via phone number 5016645860 and fax number 5016640889. The mailing address for Lisa M Ivy is 7 Shackleford West Blvd, Little Rock, Arkansas. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Lisa M Ivy |
|---|---|
| Address | 7 Shackleford West Blvd, Little Rock, Arkansas |
| Phone Number | 5016645860 |
| Fax Number | 5016640889 |
| Sole Proprietor | N |
| Credentials | ANP |
NPI Number Detail
| NPI Number | 1033103296 |
|---|---|
| Provider Enumeration Date | 2005-09-02 |
| Last Updated Date | 2010-02-16 |
Provider Mailing Address Detail
| Address | 7 Shackleford West Blvd |
|---|---|
| City | Little Rock |
| State | Arkansas (AR) |
| Post Code | 722113714 |
| Phone Number | 5016645860 |
| Fax Number | 5016640889 |
Provider's Primary Taxonomy Detail
| Speciality | Acute Care |
|---|---|
| Taxonomy | 363La2100X |
| Licence No | A01826 |
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Definition: An advanced practice registered nurse expert in providing care to adults and older children with complex acute, critical, and chronic health conditions. |
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What is the unique 10-digit identifier code issued to Lisa M Ivy by the Centers for Medicare & Medicaid Services?
The Lisa M Ivy has been assigned the NPI (National Provider Identifier) 1033103296 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you please provide the complete physical location address of Lisa M Ivy?
The Lisa M Ivy is physically situated at 7 Shackleford West Blvd, in the city of Little Rock, state of AR, with the postal code 722113714.
What is Lisa M Ivy's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Lisa M Ivy is Acute Care, and the taxonomy classification code that categorizes this area of expertise is 363La2100X.
On what date did the Lisa M Ivy receive the assignment of its 1033103296 from the Centers for Medicare & Medicaid Services?
The Lisa M Ivy was issued its 1033103296 by the Centers for Medicare & Medicaid Services on 2005-09-02.
When was the Lisa M Ivy's information last updated?
The Lisa M Ivy's information was last updated on 2010-02-16.
NPI Number: 1316940851
Address: 2410 N Glendale Dr Ste A, Fort Wayne, IN