Ivie, Laura

Ivie, Laura is an individual health care provider with primary practice located at 3360 Washington Pkwy Ste 1 , Idaho Falls ID 83404-8333. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Ivie, Laura can be contacted via phone (208) 524-3416.

Contact Information

Primary practice address
3360 Washington Pkwy Ste 1 Idaho Falls ID 83404-8333
Phone: (208) 524-3416
Fax: (208) 524-3138
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X Idaho
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X PA-938 Idaho

Profile Details

NPI number 1205135456
LBN Legal business name Ivie, Laura
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 26th, 2011
Last updated Mar 8th, 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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