Ivey, Natasha L.

Ivey, Natasha L. is an individual health care provider with primary practice located at 6052 N 59Th Ave , Glendale AZ 85301-7709. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Medical, which is considered as her primary health care specialty. Ivey, Natasha L. can be contacted via phone (480) 618-0176.

Contact Information

Primary practice address
6052 N 59Th Ave Glendale AZ 85301-7709
Phone: (480) 618-0176
Fax: (623) 632-0129
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X 4401 Arizona

Profile Details

NPI number 1205018678
LBN Legal business name Ivey, Natasha L.
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 28th, 2007
Last updated Nov 16th, 2022 - about 4 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1205018678 NPPES
Pennsylvania Other 50074903 CAPITAL BLUE CROSS
Pennsylvania Other 232809429021 CAPITAL BLUE CROSS

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