Plymouth, Ivanna

Plymouth, Ivanna is an individual health care provider with primary practice located at 7503 Surratts Rd , Clinton MD 20735-3358. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Acute Care, Physician Assistants & Advanced Practice Nursing Providers / Critical Care Medicine. Physician Assistants & Advanced Practice Nursing Providers / Critical Care Medicine is her primary health care specialty. Plymouth, Ivanna can be contacted via phone (301) 877-4656.

Contact Information

Primary practice address
7503 Surratts Rd Clinton MD 20735-3358
Phone: (301) 877-4656
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Acute Care 363LA2100X 5010033 North Carolina
Physician Assistants & Advanced Practice Nursing Providers / Critical Care Medicine 363LC0200X 5010033 North Carolina

Profile Details

NPI number 1083126379
LBN Legal business name Plymouth, Ivanna
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 26th, 2017
Last updated Aug 23rd, 2023 - about 3 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.

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