IndividualActive
Ivanna Plymouth, NP
NPI 1083126379 · Critical Care Medicine Nurse Practitioner · Clinton, MD
Provider details
- NPI number
- 1083126379
- Entity type
- Individual
- Primary specialty
- Critical Care Medicine Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- NP
- Sex
- Female
- Sole proprietor
- No
- License
- 5010033 (NC)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Physician Assistants & Advanced Practice Nursing Providers
Practice location
7503 Surratts Rd
Clinton, MD 20735-3358
Phone: (301) 877-4656
Approximate (ZIP-level) locationGet directions
Mailing address
2090 Arbroth Ct
Waldorf, MD 20601-3787
Registry dates
- Enumerated
- 2017-10-26
- Last updated
- 2023-08-23
- Certified
- 2023-08-23
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.