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Individual
MRS. JOHANNA IVICH
Active
Individual
MRS. JOHANNA IVICH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NNP-BC
Taxonomy
Speciality
Code
Description
License number
State
2080N0001X
Neonatal-Perinatal Medicine Physician
ARNP9363820
FL
363L00000X
Nurse Practitioner
ARNP9363820
FL
363LN0000X
Neonatal Nurse Practitioner
Primary
APRN9363820
FL
363LN0005X
Critical Care Neonatal Nurse Practitioner
ARNP9363820
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100145500
—
FL
01
—
AL8JF
BLUE CROSS BLUE SHIELD
FL
Enumeration date
05/07/2013
Last updated
02/19/2025
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