IndividualActive
Molly Ivy
NPI 1043986532 · Gerontology Nurse Practitioner · Alexandria, LA
Provider details
- NPI number
- 1043986532
- Entity type
- Individual
- Primary specialty
- Gerontology Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Sex
- Female
- Sole proprietor
- No
- License
- 221578 (LA)
Mailing address
3901a Spicewood Springs Rd Ste 201
Austin, TX 78759-8728
Registry dates
- Enumerated
- 2021-08-17
- Last updated
- 2021-08-17
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.