Individual
MARK PATRICK IVORY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
1001 SAM PERRY BLVD, FREDERICKSBURG, VA 22401-4453
(540) 741-7614
Mailing address
1340 CENTRAL PARK BLVD STE 100, FREDERICKSBURG, VA 22401-4940
(540) 741-4254
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
0024164629
VA
Other
Enumeration date
09/26/2006
Last updated
04/30/2026
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