Individual
MRS. ELIZABETH L. AVERY IVEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NNP
Contact information
Practice address
3832 WAYNOKA AVE, MEMPHIS, TN 38111-6921
(901) 327-2759
Mailing address
3832 WAYNOKA AVE, MEMPHIS, TN 38111-6921
(901) 327-2759
Taxonomy
Speciality
Code
Description
License number
State
363LN0000X
Neonatal Nurse Practitioner
Primary
APN0000006041
TN
Other
Enumeration date
02/11/2007
Last updated
07/08/2007
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