NPI 1023409034

Ivy McKenzie Carson, NP

Practitioner Primary Care Nurse Practitioner West Hollywood, CA

Practice location

Address: 8550 Santa Monica Blvd Fl 2, West Hollywood, CA 90069-4496
Phone: (909) 962-1260
Fax: (323) 307-7140

Registered specialties (3)

Primary Care Nurse Practitioner Primary

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363LP2300X Licence 4704279990 (MI)

Other Nurse Practitioner providers in California →

Adult Health Nurse Practitioner

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363LA2200X Licence 4704279990 (MI)

Gerontology Nurse Practitioner

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363LG0600X Licence 4704279990 (MI)

Registry record

NPI: 1023409034
Entity type: Individual
Sex (as registered): Female
NPI issued: 12 Feb 2015
Record last updated: 28 Mar 2024

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.