ANDREA E IVY

BRIDGETON, MO
NPI1649220104
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: MO  137743)
Enumeration Date2006-05-12
Last Update Date2014-07-14
Business Address
-- ANDREA E IVY N.P.
12800 BOENKER LN
BRIDGETON, MO 63044-2438
Phone number: 314-551-0338
Mailing Address
-- ANDREA E IVY N.P.
12800 BOENKER LN
BRIDGETON, MO 63044-2438
Phone number: 314-551-0338
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