Ivey, Reagan L

Ivey, Reagan L is an individual health care provider with primary practice located at 215 Kinlaw Rd , Fayetteville NC 28311-1431. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Primary Care, which is considered as her primary health care specialty. Ivey, Reagan L can be contacted via phone (919) 588-1998.

Contact Information

Primary practice address
215 Kinlaw Rd Fayetteville NC 28311-1431
Phone: (919) 588-1998
Fax: (888) 987-4108
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Primary Care 363LP2300X 900401 North Carolina

Profile Details

NPI number 1164414538
LBN Legal business name Ivey, Reagan L
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 22nd, 2005
Last updated Mar 7th, 2023 - about 3 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 1164414538 NPPES
North Carolina Other NCB791C615 MEDICARE PTAN

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