Individual
IVY RYNEARSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNS
Contact information
Practice address
1345 UNITY PL STE 355, LAFAYETTE, IN 47905-5761
(765) 807-7988
(765) 807-7989
Mailing address
PO BOX 4699, LAFAYETTE, IN 47903-4699
(765) 446-5417
Taxonomy
Speciality
Code
Description
License number
State
364S00000X
Clinical Nurse Specialist
Primary
71009854A
IN
Other
Enumeration date
03/03/2020
Last updated
03/03/2020
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