Individual
ANNA L IVY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5023 CLAY CREEK LN, PLAINFIELD, IN 46168-9003
(317) 281-3648
Mailing address
5023 CLAY CREEK LN, PLAINFIELD, IN 46168-9003
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
28202353A
IN
Other
Enumeration date
03/10/2026
Last updated
03/10/2026
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