Individual
IVY T SPADONE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
580 W 5TH ST, RENO, NV 89503-4407
(775) 786-4673
(775) 348-2889
Mailing address
580 W 5TH ST, RENO, NV 89503-4407
(775) 786-4673
(775) 348-2889
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA628
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
970028739
RAILROAD MEDICARE
NV
Enumeration date
10/03/2006
Last updated
07/21/2022
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