Individual
MRS. MARY O'SULLIVAN IVORY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
C.R.N.P.
Contact information
Practice address
437 ANTHWYN RD, NARBERTH, PA 19072-2301
(610) 667-7984
Mailing address
437 ANTHWYN RD, NARBERTH, PA 19072-2301
(610) 667-7984
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
SP010004
PA
Other
Enumeration date
11/14/2008
Last updated
11/14/2008
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