Search › Nevada › Rehabilitation Practitioner
Broderic Ivery
NPI 1972844553 · on the registry since 2013 · sole proprietor
Practice
- Address
- 1915 Ona Marie Ave
North Las Vegas, NV 89032 - Phone
- (702) 812-4973
- Fax
- (702) 631-6312
Registry record
- Primary taxonomy
- Rehabilitation Practitioner
225400000X
- Licence states on file
- NV
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2013-03-07
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 Nevada