| NPI | 1902522899 |
|---|---|
| Doing Business As | IVY WELLNESS CARE |
| Entity Type | Organization |
| Authorized Contact | MICHELE BUTLER Nurse Practitioner 215-264-8104 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner |
| Enumeration Date | 2022-10-13 |
| Last Update Date | 2022-12-31 |