Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MISS IVY LANE ZICCARELLI, PA-C
ActiveMISS IVY LANE ZICCARELLI, PA-C is a Physician Assistant healthcare provider located in MATTHEWS, North Carolina. NPI 1629434691 is currently active in the NPPES registry. Verify at CMS.
Physician Assistant · MATTHEWS, NC
Registration Details
- NPI Number
- 1629434691
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jan 6, 2016 (10.624599917192 yrs)
- Last Updated
- Oct 26, 2020
- License
-
0010-06261 (NC)
Practice Information
- Address
-
1401 MATTHEWS TOWNSHIP PKWY STE 320MATTHEWS, NC, 28105Browse NC providers · Browse ZIP 28105
- Phone
- 7043841261
- Fax
- 7043843145
- Primary Specialty
-
Physician Assistant
363A00000X
- Additional Specialty
- Physician Assistant
Other Physician Assistant Providers in MATTHEWS, NC
| Name | Credential | NPI |
|---|---|---|
| MR. IRVING DAVID WIGHT | PA-C | 1760471221 |
| JACQUELINE GREENE | PA-C | 1457333551 |
| MR. RONALD EDWARD FIELD | PA-C | 1205819141 |
| MR. GEORGE BRIAN COLLINS | PA-C | 1083697643 |
| MR. DAVID DORENFELD | PA-C | 1003880121 |
| CAROLYN DANSKI JARRELL | PA-C | 1689641565 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.