Ivy M Carson, NP
Nurse Practitioner, Primary Care in West Hollywood, California
1023409034- Practice location
- 8550 Santa Monica Blvd Fl 2, West Hollywood, CA 90069-4496
- Phone
- 909-962-1260
- Fax
- 323-307-7140
- Last updated
- March 28, 2024
Ivy Mckenzie Carson is a Nurse Practitioner, Primary Care based in West Hollywood, CA. Ivy Mckenzie Carson practices in West Hollywood, CA and has the professional credentials of NP. The NPI Number for Ivy Mckenzie Carson is 1023409034 and holds a License No. 4704279990 (MI). The current practice location address for Ivy Mckenzie Carson is 8550 Santa Monica Blvd Fl 2, West Hollywood, CA 90069-4496 and can be reached out via phone at 909-962-1260 and via fax at 323-307-7140.
Provider Profile Details
- NPI Number
- 1023409034
- Provider Name
- Ivy Mckenzie Carson
- Credential
- NP
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 8550 Santa Monica Blvd Fl 2, West Hollywood, CA 90069-4496
- Phone Number
- 909-962-1260
- Fax Number
- 323-307-7140
- Primary Taxonomy
- Nurse Practitioner, Primary Care · 363LP2300X
- Sole Proprietor
- No
- Provider Enumeration Date
- February 12, 2015
- Last Update Date
- March 28, 2024
- Certification Date
- March 28, 2024
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 8550 Santa Monica Blvd Fl 2
West Hollywood, CA 90069-4496 - City
- West Hollywood
- State
- California
- Zip
- 90069-4496
- Phone Number
- 909-962-1260
- Fax Number
- 323-307-7140
Provider Business Mailing Address Details
- Address
- 8550 Santa Monica Blvd Fl 2
West Hollywood, CA 90069-4496 - City
- West Hollywood
- State
- CA
- Zip
- 90069-4496
- Phone Number
- 909-962-1260
- Fax Number
- 323-307-7140
License Information
- License Number (1)
- 4704279990
- License State (1)
- MI
- Taxonomy (1)
- Nurse Practitioner, Adult Health · 363LA2200X
- License Number (2)
- 4704279990
- License State (2)
- MI
- Taxonomy (2)
- Nurse Practitioner, Gerontology · 363LG0600X
- License Number (3)
- 4704279990
- License State (3)
- MI
- Taxonomy (3)
- Nurse Practitioner, Primary Care · 363LP2300X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
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Frequently Asked Questions
What is the NPI number of Ivy M Carson, NP?
The NPI number of Ivy M Carson, NP is 1023409034. It was assigned on February 12, 2015 and is currently active in the NPPES registry.
What is the specialty of Ivy M Carson, NP?
Ivy M Carson, NP is registered under the primary taxonomy Nurse Practitioner, Primary Care (code 363LP2300X), licensed in MI under license number 4704279990.
Where does Ivy M Carson, NP practice?
The practice location is 8550 Santa Monica Blvd Fl 2, West Hollywood, CA 90069-4496. The office can be reached at 909-962-1260 (phone) or 323-307-7140 (fax).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1023409034 directly on the NPPES registry website.