Individual
ANTHONY IVEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
FNP-C
Contact information
Practice address
2342 HILLSIDE DR, SALINA, KS 67401-3563
(785) 342-9172
Mailing address
2342 HILLSIDE DR, SALINA, KS 67401-3563
(785) 342-9172
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
13-113835-011
KS
363LF0000X
Family Nurse Practitioner
Primary
53-79651-011
KS
Other
Enumeration date
07/30/2020
Last updated
09/15/2020
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