Individual
NATHAN D IVEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.P.M.
Contact information
Practice address
4343 PAN AMERICAN FWY NE STE 234, ALBUQUERQUE, NM 87107
(505) 880-1000
(505) 880-1002
Mailing address
4343 PAN AMERICAN FWY NE STE 234, ALBUQUERQUE, NM 87107-6831
(505) 880-1000
(505) 880-1002
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
272
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
10002146
LOVELACE
NM
05
—
12226807
—
NM
01
—
201036405
PRESBITERIAN
NM
01
—
2109215
FIRSTHEALTH
NM
01
—
4583990001
DME
—
01
—
480034544
RAILROAD MCR
—
01
—
NM005485
BLUES
NM
01
—
PROVB13850
MOLINA
NM
Enumeration date
08/09/2006
Last updated
05/30/2023
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