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Individual
IVY MAY DEBRUYCKER
Active
Individual
IVY MAY DEBRUYCKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN, CNP
Taxonomy
Speciality
Code
Description
License number
State
363LN0005X
Critical Care Neonatal Nurse Practitioner
Primary
10072
MN
363LN0005X
Critical Care Neonatal Nurse Practitioner
2479164
MN
Other
Enumeration date
03/30/2023
Last updated
07/02/2024
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