Leigh E. Wallace Ivy, CRNA
NPI #1013262435 in Birmingham, Alabama
Provider Information
- NPI Number
- 1013262435
- Entity Type
- Individual
- Name
- Leigh E. Wallace Ivy, CRNA
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Nurse Anesthetist, Certified Registered
- Credential
- CRNA
- Enumeration Date
- Jul 23, 2012
- Last Updated
- Nov 6, 2017
Practice Location
- Address
- 810 SAINT VINCENTS DR
- City
- Birmingham
- State
- Alabama
- ZIP Code
- 35205-1601
- Phone
- (205) 939-7143
Specialties & Taxonomy Codes
| Specialty |
|---|
| Nurse Anesthetist, Certified Registered |
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