Carson, Ivy Mckenzie

Carson, Ivy Mckenzie is an individual health care provider with primary practice located at 8550 Santa Monica Blvd Fl 2 , West Hollywood CA 90069-4496. She recently has 3 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Adult Health, Physician Assistants & Advanced Practice Nursing Providers / Gerontology, Physician Assistants & Advanced Practice Nursing Providers / Primary Care. Physician Assistants & Advanced Practice Nursing Providers / Primary Care is her primary health care specialty. Carson, Ivy Mckenzie can be contacted via phone (909) 962-1260.

Contact Information

Primary practice address
8550 Santa Monica Blvd Fl 2 West Hollywood CA 90069-4496
Phone: (909) 962-1260
Fax: (323) 307-7140
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Adult Health 363LA2200X 4704279990 Michigan
Physician Assistants & Advanced Practice Nursing Providers / Gerontology 363LG0600X 4704279990 Michigan
Physician Assistants & Advanced Practice Nursing Providers / Primary Care 363LP2300X 4704279990 Michigan

Profile Details

NPI number 1023409034
LBN Legal business name Carson, Ivy Mckenzie
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 12th, 2015
Last updated Mar 28th, 2024 - about 9 months ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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