Individual
MOLLY MCKAY IVY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
211 4TH ST, ALEXANDRIA, LA 71301-8421
(737) 226-6700
Mailing address
3901A SPICEWOOD SPRINGS RD STE 201, AUSTIN, TX 78759-8728
(737) 226-6700
Taxonomy
Speciality
Code
Description
License number
State
363LG0600X
Gerontology Nurse Practitioner
Primary
221578
LA
Other
Enumeration date
08/17/2021
Last updated
08/17/2021
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