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Individual

LOREN IVEY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
NP, CNM

Contact information

Practice address
19450 DEERFIELD AVE STE 460, LEESBURG, VA 20176-6840
(571) 707-8522
(571) 707-8577
Mailing address
8110 MAPLE LAWN BLVD STE 235, FULTON, MD 20759-2694
(301) 340-8339
(301) 340-9027

Taxonomy

Speciality
Code
Description
License number
State
367A00000X
Advanced Practice Midwife
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0024178281
VA
VA
Enumeration date
11/05/2019
Last updated
10/17/2023
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