Ivy Pruss

Practice location

Address

1402 S Park Loop Rd, Jackson, WY 83001-9500

Phone

(307) 690-7603

Registered specialties

Registry record

NPI

1255921987

Entity type

Individual

Sex (as registered)

Female

NPI issued

26 Jan 2021

Record last updated

27 Jan 2021

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.