Individual
MRS. IVY L. RERKO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN, MSN, ACNP-C, CNS
Contact information
Practice address
800 W ARBROOK BLVD, ARLINGTON, TX 76015-4327
(817) 467-5551
Mailing address
5439 LAVACA RD, GRAND PRAIRIE, TX 75052-8579
(817) 652-9442
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
724598
TX
Other
Enumeration date
03/09/2007
Last updated
07/08/2007
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