Most Relevant Information
Provider Data
| NPI Number: | 1003542200 |
| Provider Name: | IVY SOTO RN |
| Entity Type: | Individual |
| Taxonomy Code: | 163W00000X |
| Specialty: | Registered Nurse |
| License Number: | RN.497275 |
Most Important Dates
| Enumeration Date: | 07/29/2022 |
| Last Updated: | 07/29/2022 |
Provider Practice Location
1045 KLOTZ RD
BOWLING GREEN
OH
434024820
Practice Location Phone/Fax
| Phone: | 4193527588 |
| Fax: |
Provider Mailing Location
PO BOX 738
BOWLING GREEN
OH
434020738
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |