Ivy Christofferson is a student in an organized health care education training program in Salt Lake City, UT. The provider is an individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. Ivy Christofferson NPI is 1164125209. The provider is registered as an individual entity type.
The NPPES NPI record indicates the provider is a female.
The provider's business location address is:
501 S CHIPETA WAY
SALT LAKE CITY, UT
ZIP 84108-222
Phone: (801) 581-7951
The enumeration date for this NPI number is 3/27/2023 and was last updated on 3/27/2023.