Individual
JANE ELIZABETH IVY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BSN, RN
Contact information
Practice address
903 S ADAMS ST, RITZVILLE, WA 99169-2227
(509) 659-1200
Mailing address
903 S ADAMS ST, RITZVILLE, WA 99169-2227
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN61112791
WA
Other
Enumeration date
02/18/2025
Last updated
02/18/2025
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