Mrs. JANUARY DAWN IVANCIC
Individual Provider (NPI-1)
Active
Nurse Practitioner, Family
Provider Information
- NPI Number
1730868993- Provider Type
- Individual Provider (NPI-1)
- Status
- Active
Contact & Location
- Address
- 1205 N OREGON ST, EL PASO, TX, 799024023
- Phone
- (915) 533-4900
Specialties & Taxonomies
Internal Medicine, Infectious Disease
License: TX #1093395139
Nurse Practitioner, Family
Primary License: TX #1137078