# IVY MAY DEBRUYCKER

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1265136360
- **Gender:** F
- **Credential:** APRN, CNP

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363LN0005X | Critical Care Neonatal Nurse Practitioner | 10072 | MN | Yes |
| 363LN0005X | Critical Care Neonatal Nurse Practitioner | 2479164 | MN | — |

## Other

- **Enumeration date:** 03/30/2023
- **Last updated:** 07/02/2024