Todd, Ivy A G

Todd, Ivy A G is an individual health care provider with primary practice located at 6 Telcom Dr , Bangor ME 04401-3072. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Pediatrics, which is considered as her primary health care specialty. Todd, Ivy A G can be contacted via phone (207) 947-0147.

Contact Information

Primary practice address
6 Telcom Dr Bangor ME 04401-3072
Phone: (207) 947-0147
Fax: (207) 990-3365
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Pediatrics 363LP0200X CNP211246 Maine

Profile Details

NPI number 1073112561
LBN Legal business name Todd, Ivy A G
Credentials PNPC
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 26th, 2020
Last updated Jul 1st, 2021 - about 4 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