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Individual
NATHAN D IVEY
Active
Individual
NATHAN D IVEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.P.M.
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
272
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
10002146
LOVELACE
NM
05
—
12226807
—
NM
01
—
201036405
PRESBITERIAN
NM
01
—
2109215
FIRSTHEALTH
NM
01
—
4583990001
DME
—
01
—
480034544
RAILROAD MCR
—
01
—
NM005485
BLUES
NM
01
—
PROVB13850
MOLINA
NM
Enumeration date
08/09/2006
Last updated
05/30/2023
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