Ivy, Gayle Patricia

Ivy, Gayle Patricia is an individual health care provider with primary practice located at 3909 Trillium Ave , Modesto CA 95356-1319. She recently has only one registered license in Nursing Service Providers / Psychiatric/Mental Health, which is considered as her primary health care specialty. Ivy, Gayle Patricia can be contacted via phone (209) 529-5191.

Contact Information

Primary practice address
3909 Trillium Ave Modesto CA 95356-1319
Phone: (209) 529-5191
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Psychiatric/Mental Health 163WP0808X 165354 California

Profile Details

NPI number 1902093909
LBN Legal business name Ivy, Gayle Patricia
Credentials Registered Nurse (RN)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 3rd, 2007
Last updated Oct 3rd, 2007 - about 18 years 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.

Request for update

Popular Providers