Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207R00000X | Internist | G55952 | CA |
N | 111NI0900X | Internist | G55952 | CA |
N | 207RC0200X | Critical Care Medicine | G55952 | CA |
N | 207RH0002X | Hospice and Palliative Medicine | G55952 | CA |
NPI | 1184638488 |
---|---|
Provider Name | Dr. Ivy L Darden |
First Address | Fresno, CA 93703-2223 |
Second Address | Fresno, CA 93703-2223 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 29/07/2006 |
Last Update Date | 14/09/2018 |