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Natasha L. Ivey, PA-C
Medical Physician Assistant in Glendale, Arizona
NPI 1205018678

Natasha L. Ivey is a Medical Physician Assistant based in Atlanta, AZ and is specialized in Medical. Natasha L. Ivey practices in Glendale, AZ and has the professional credentials of PA-C. The NPI Number for Natasha L. Ivey is 1205018678 and holds a License No. 4401 (Arizona).

The current practice location address for Natasha L. Ivey is 6052 N 59Th Ave, Glendale, AZ and can be reached out via phone at 480-618-0176 and via fax at 623-632-0129. You can also correspond with Natasha L. Ivey through the mailing address at PO BOX 746093, ATLANTA, GA - 30374-6093 (mailing address contact number: 773-759-7550).

Location: 6052 N 59Th Ave, Glendale, AZ, 30374-6093
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Provider Profile Details
NPI Number
1205018678
Provider Name
Natasha L. Ivey
Credential
PA-C
Provider Entity Type
Individual
Gender
Female
Address
6052 N 59Th Ave, Glendale, AZ, 30374-6093
Phone Number
480-618-0176
Fax Number
623-632-0129
Provider Enumeration Date
11/28/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
50074903 01 PA CAPITAL BLUE CROSS
232809429021 01 PA TRICARE
institution
Provider Business Practice Location Address Details
Address
6052 N 59Th Ave
City
State
Zip
85301-7709
Phone Number
480-618-0176
Fax Number
623-632-0129
person
Provider Business Mailing Address Details
Address
6052 N 59Th Ave
City
State
Zip
85301-7709
Phone Number
480-618-0176
Fax Number
623-632-0129
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Medical
Taxonomy
License No.
4401 (Arizona)
Definition
Definition to come...
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