Individual
IVY C TOBIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
6500 HOSPITAL DR, HANNIBAL, MO 63401-6890
(573) 629-3500
(573) 629-3314
Mailing address
PO BOX 1239, HANNIBAL, MO 63401-1239
(573) 629-3500
(573) 629-3314
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
2013009873
MO
363LA2100X
Acute Care Nurse Practitioner
Primary
2021047405
MO
Other
Enumeration date
11/23/2021
Last updated
05/17/2024
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