LISA M IVY

LITTLE ROCK, AR
NPI1033103296
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LA2100X Nurse Practitioner, Acute Care
(Licence: AR  A01826)
Enumeration Date2005-09-02
Last Update Date2010-02-16
Business Address
-- LISA M IVY ANP
7 SHACKLEFORD WEST BLVD
LITTLE ROCK, AR 72211-3714
Phone number: 501-664-5860
Mailing Address
-- LISA M IVY ANP
7 SHACKLEFORD WEST BLVD
LITTLE ROCK, AR 72211-3714
Phone number: 501-664-5860
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