person
Ivy Mckenzie Carson, NP
Primary Care Nurse Practitioner in West Hollywood, California
NPI 1023409034

Ivy Mckenzie Carson is a Primary Care Nurse Practitioner based in West Hollywood, CA and is specialized in Primary Care. 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 (California).

The current practice location address for Ivy Mckenzie Carson is 8550 Santa Monica Blvd Fl 2, West Hollywood, CA and can be reached out via phone at 909-962-1260 and via fax at 323-307-7140.

Location: 8550 Santa Monica Blvd Fl 2, West Hollywood, CA, 90069-4496
person
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
Provider Enumeration Date
02/12/2015
Last Update Date
04/13/2024
institution
Provider Business Practice Location Address Details
Address
8550 Santa Monica Blvd Fl 2
City
State
Zip
90069-4496
Phone Number
909-962-1260
Fax Number
323-307-7140
person
Provider Business Mailing Address Details
Address
8550 Santa Monica Blvd Fl 2
City
State
Zip
90069-4496
Phone Number
909-962-1260
Fax Number
323-307-7140
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Adult Health
Taxonomy
License No.
4704279990 (Michigan)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Gerontology
Taxonomy
License No.
4704279990 (Michigan)
Definition
Definition to come...
person
Provider's Taxonomy Details 3
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Primary Care
Taxonomy
License No.
4704279990 (Michigan)
Definition
Definition to come...
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