NATHAN T. IVY

BIRMINGHAM, AL
NPI1841545118
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy367500000X Nurse Anesthetist, Certified Registered
(Licence: AL  1-125332)
Enumeration Date2012-07-23
Last Update Date2012-07-23
Business Address
-- NATHAN T. IVY CRNA
810 SAINT VINCENTS DR
BIRMINGHAM, AL 35205-1601
Phone number: 205-939-7143
Mailing Address
-- NATHAN T. IVY CRNA
255 W MICHIGAN AVE P. O. BOX 1123
JACKSON, MI 49201-2218
Phone number: 800-516-5315
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