MEDICARE: DR. NATALIE ANN IVEY MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	390200000X	Student in an Organized Health Care Education/Training Program

General Provider Information

NPI Number	:	1861132714
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. NATALIE ANN IVEY MD

Provider Business Mailing Address
First Line	:	404 HOLLY CREEK DR
Second Line	:
City	:	ANDERSON
State	:	SC
Zip	:	29621-2015
Country	:	US
Telephone Number	:	864-940-6773
Fax Number	:

Provider Business Practice Location Address
First Line	:	UNIVERSITY OF CINCINNATI COM/DPT OF NSGY
Second Line	:	231 ALBERT SABIN WAY, ML 515
City	:	CINCINNATI
State	:	OH
Zip	:	45267-0515
Country	:	US
Telephone Number	:	513-558-5387
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/30/2022
Last Update Date	:	03/30/2022

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