Individual
SHANIQUE IVERY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
10333 CLAY RD APT 1011, HOUSTON, TX 77041-2361
(832) 726-5272
Mailing address
10333 CLAY RD APT 1011, HOUSTON, TX 77041-2361
Taxonomy
Speciality
Code
Description
License number
State
363LW0102X
Women's Health Nurse Practitioner
Primary
F421629-01
NY
Other
Enumeration date
03/20/2023
Last updated
03/20/2023
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