Ivy Wellness Care LLC
NPI #1902522899 in Glenside, Pennsylvania
Provider Information
- NPI Number
- 1902522899
- Entity Type
- Organization
- Organization Name
- Ivy Wellness Care LLC
- Primary Specialty
- Nurse Practitioner
- Enumeration Date
- Oct 13, 2022
- Last Updated
- Dec 31, 2022
Practice Location
- Address
- 712 FITZWATERTOWN RD
- City
- Glenside
- State
- Pennsylvania
- ZIP Code
- 19038-1306
- Phone
- (215) 885-1112
Authorized Official
- Name
- MICHELE BUTLER
- Title
- NURSE PRACTITIONER
- Phone
- (215) 264-8104
Specialties & Taxonomy Codes
| Specialty |
|---|
| Nurse Practitioner |
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