Individual
IVY ALWELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSN,APRN,BC
Contact information
Practice address
4 HICKORY RIDGE RD STE 600, HILLSBORO, MO 63050-5117
(636) 481-6040
Mailing address
18104 SUNNY TOP CT, WILDWOOD, MO 63038-1445
(636) 405-0933
Taxonomy
Speciality
Code
Description
License number
State
163WP0809X
Adult Psychiatric/Mental Health Registered Nurse
Primary
145271
MO
Other
Enumeration date
03/07/2007
Last updated
05/20/2019
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