DUSTIN BRANT IVANIC

TEMPE, AZ
NPI1497294748
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363LF0000X Nurse Practitioner Family
(Licence: AZ  AP9722)
Enumeration Date2017-02-20
Last Update Date2017-02-20
Business Address
MR. DUSTIN BRANT IVANIC FNP-C
3255 S RURAL RD
TEMPE, AZ 85282-3853
Phone number: 480-304-5467
Mailing Address
MR. DUSTIN BRANT IVANIC FNP-C
2620 ELM HILL PIKE
NASHVILLE, TN 37214-3108
Phone number: 615-425-4200
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