Andrea E Ivy is a Family in Bridgeton, Missouri. Andrea E Ivy practices all healthcare services and medical treatments related to Family. The NPI Number for Andrea E Ivy is 1649220104. The last update date is 2014-07-14.
Andrea E Ivy's current location address is 12800 Boenker Ln, Bridgeton, Missouri. You can contact this provider via phone number 3145510338 and fax number 3145510336. The mailing address for Andrea E Ivy is 12800 Boenker Ln, Bridgeton, Missouri. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Andrea E Ivy |
|---|---|
| Address | 12800 Boenker Ln, Bridgeton, Missouri |
| Phone Number | 3145510338 |
| Fax Number | 3145510336 |
| Sole Proprietor | N |
| Credentials | N.P. |
NPI Number Detail
| NPI Number | 1649220104 |
|---|---|
| Provider Enumeration Date | 2006-05-12 |
| Last Updated Date | 2014-07-14 |
Provider Mailing Address Detail
| Address | 12800 Boenker Ln |
|---|---|
| City | Bridgeton |
| State | Missouri (MO) |
| Post Code | 630442438 |
| Phone Number | 3145510338 |
| Fax Number | 3145510336 |
Provider's Primary Taxonomy Detail
| Speciality | Family |
|---|---|
| Taxonomy | 363Lf0000X |
| Licence No | 137743 |
|
Definition: An advanced practice registered nurse expert in primary healthcare for patients of all ages. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 429398209 | MO | -- |
Post Comment/ Review Below
What is the unique 10-digit identifier code issued to Andrea E Ivy by the Centers for Medicare & Medicaid Services?
The Andrea E Ivy has been assigned the NPI (National Provider Identifier) 1649220104 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you provide the complete physical address where Andrea E Ivy is located?
The Andrea E Ivy is situated at the following address: 12800 Boenker Ln, Bridgeton, MO, 630442438.
What is the area of specialization for Andrea E Ivy, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Andrea E Ivy is Family, and the corresponding taxonomy code that categorizes this area of expertise is 363Lf0000X.
On what date did Andrea E Ivy receive its 1649220104 assignment from the Centers for Medicare & Medicaid Services?
The Andrea E Ivy was assigned its 1649220104 on 2006-05-12, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
As of what date were the Andrea E Ivy's details last updated?
The information pertaining to the Andrea E Ivy, including its address, specialty, and other details, was most recently updated on 2014-07-14.
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