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Organization
IVY WELLNESS CARE LLC
Active
Organization
IVY WELLNESS CARE LLC
Active
Other names
Ivy Wellness Care
Organization subpart
No
Provider details
NPI number
Authorized official
MICHELE BUTLER (NURSE PRACTITIONER)
(215) 264-8104
Entity
Organization
Contact information
Practice address
712 FITZWATERTOWN RD, GLENSIDE, PA 19038-1306
(215) 885-1112
Mailing address
712 FITZWATERTOWN RD, GLENSIDE, PA 19038-1306
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
—
NULL
363L00000X
Nurse Practitioner
Primary
—
—
Other
Enumeration date
10/13/2022
Last updated
12/31/2022
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