MRS. GAYLE PATRICIA IVY RN NPI 1902093909

NPI Information

NPI: 1902093909
Provider Name: MRS. GAYLE PATRICIA IVY, RN
Classification: Registered Nurse - 163WP0808X
Entity Type: Individual

Specialization: Psychiatric/Mental Health

Address:
3909 TRILLIUM AVE
MODESTO, CA
ZIP 95356
Phone: (209) 529-5191
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MRS. Gayle Patricia Ivy, RN is a psychiatric/mental health registered nurse in Modesto, CA. MRS. Gayle Patricia Ivy, RN NPI is 1902093909. 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:

3909 TRILLIUM AVE
MODESTO, CA
ZIP 95356-319
Phone: (209) 529-5191

The enumeration date for this NPI number is 10/3/2007 and was last updated on 10/3/2007.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	163WP0808X	Registered Nurse	Psychiatric/Mental Health	165354	CALIFORNIA	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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