Evan Ivie, PA

NPI 1558765891 · on the registry since 2014

Practice

Address: 3456 E 17th St Ste 190
Ammon, ID 83406
Phone: (208) 524-2222
Fax: (855) 999-9242
Organisation at this address: Aspen Ridge Eye Care, Pllc
Ammon Medical And Urgent Care Pllc
Peak Performance Therapy Services P C
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 13

Registry record

Primary taxonomy: 363A00000X
363A00000X
Licence states on file: ID
From the registry's licence fields, which are often incomplete.
Sex: Male
Record last updated: 2025-09-03

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Idaho