Ivy L. Rerko is a Acute Care in Grand Prairie, Texas. Ivy L. Rerko practices all healthcare services and medical treatments related to Acute Care. The NPI Number for Ivy L. Rerko is 1295867166. The last update date is 2007-07-08.
Ivy L. Rerko's current location address is 5439 Lavaca Rd, Grand Prairie, Texas. You can contact this provider via phone number 8176529442. The mailing address for Ivy L. Rerko is 5439 Lavaca Rd, Grand Prairie, Texas. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Ivy L. Rerko |
|---|---|
| Address | 5439 Lavaca Rd, Grand Prairie, Texas |
| Phone Number | 8176529442 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | RN, MSN, A |
NPI Number Detail
| NPI Number | 1295867166 |
|---|---|
| Provider Enumeration Date | 2007-03-09 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 5439 Lavaca Rd |
|---|---|
| City | Grand Prairie |
| State | Texas (TX) |
| Post Code | 750528579 |
| Phone Number | 8176529442 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Acute Care |
|---|---|
| Taxonomy | 363La2100X |
| Licence No | 724598 |
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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 identification code assigned to Ivy L. Rerko by the Centers for Medicare & Medicaid Services?
The Ivy L. Rerko has been issued the NPI (National Provider Identifier) 1295867166. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Can you provide the Ivy L. Rerko's physical address?
The Ivy L. Rerko is physically located at 5439 Lavaca Rd, in the city of Grand Prairie, TX, with the postal code 750528579.
What is Ivy L. Rerko's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Ivy L. Rerko is Acute Care, and the taxonomy code that categorizes this field of expertise is 363La2100X.
When did Ivy L. Rerko receive its 1295867166 assignment?
The Ivy L. Rerko was assigned its 1295867166 on 2007-03-09, which is the date when this unique identifier was issued to the organization.
As of what date were the details pertaining to Ivy L. Rerko last refreshed?
The information related to the Ivy L. Rerko, including its address, specialty, and other relevant details, was last updated on 2007-07-08.
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