Ivy, Mellissa Sue

Ivy, Mellissa Sue is an individual health care provider with primary practice located at 101 W 8Th Ave , Spokane WA 99204-2307. She recently has 4 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Physician Assistants & Advanced Practice Nursing Providers / Acute Care, Physician Assistants & Advanced Practice Nursing Providers / Family, Physician Assistants & Advanced Practice Nursing Providers / Gerontology. Physician Assistants & Advanced Practice Nursing Providers / Gerontology is her primary health care specialty. Ivy, Mellissa Sue can be contacted via phone (509) 474-3260.

Contact Information

Primary practice address
101 W 8Th Ave Spokane WA 99204-2307
Phone: (509) 474-3260
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 61216242 Washington
Physician Assistants & Advanced Practice Nursing Providers / Acute Care 363LA2100X AP61216242 Washington
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X AP61216242 Washington
Physician Assistants & Advanced Practice Nursing Providers / Gerontology 363LG0600X AP61216242 Washington

Profile Details

NPI number 1730815960
LBN Legal business name Ivy, Mellissa Sue
Credentials ARNP
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 29th, 2022
Last updated May 2nd, 2024 - about 4 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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