Nicole Ivanov
Pediatrician
1000 Blythe Blvd Fl 4
Charlotte
, North Carolina 28203-5812
Nicole Ivanov
Pediatrician
1000 Blythe Blvd Fl 4
Charlotte
, North Carolina 28203-5812
(704) 381-6841
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About
Features
Specialties
- Pediatrician
Languages spoken
- English
Location
First Address
- Nicole Ivanov
- 1000 Blythe Blvd Fl 4
- Charlotte, NC
- Zip : 28203-5812
- Fax : (704) 381-6841
- Phone : (704) 381-6800
Second Address
- Nicole Ivanov
- 1000 Blythe Blvd Fl 4
- Charlotte, NC
- Zip : 28203-5812
- Fax : (704) 381-6841
- Phone : (704) 381-6800
Reviews
FAQs
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 208000000X | Pediatrician | 250095 | NC |
National Provider Identifier
| NPI | 1003376534 |
|---|---|
| Provider Name | Nicole Ivanov |
| First Address | Charlotte, NC 28203-5812 |
| Second Address | Charlotte, NC 28203-5812 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 21/03/2019 |
| Last Update Date | 21/03/2019 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.