Provider Demographics
NPI:1689041808
Name:DANO, IVY ALCALA (FNP-C)
Entity Type:Individual
Prefix:
First Name:IVY
Middle Name:ALCALA
Last Name:DANO
Suffix:
Gender:F
Credentials:FNP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 720085
Mailing Address - Street 2:
Mailing Address - City:MCALLEN
Mailing Address - State:TX
Mailing Address - Zip Code:78504-0085
Mailing Address - Country:US
Mailing Address - Phone:956-227-5715
Mailing Address - Fax:956-630-0472
Practice Address - Street 1:110 E SAVANNAH AVE STE 203
Practice Address - Street 2:
Practice Address - City:MCALLEN
Practice Address - State:TX
Practice Address - Zip Code:78503
Practice Address - Country:US
Practice Address - Phone:956-686-7611
Practice Address - Fax:956-618-3146
Is Sole Proprietor?:No
Enumeration Date:2015-08-24
Last Update Date:2019-04-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXAP128771363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX8045NXOtherSOLO BCBS LINKED TO RAMCORP MEDICAL PA
TX441686ZSJCOtherINDIVIDUAL MEDICARE LINKED TO RAMCORP MEDICAL PA
TX8JK486OtherSOLO BCBS LINKED TO MD HOSPITALISTS PLLC
TXP01666640OtherINDIVIDUAL RR MEDICARE LINKED TO RAMCORP MEDICAL PA
TX8047NSOtherBCBS
TX350181902OtherINDIVIDUAL MEDICAID LINKED TO RAMCORP MEDICALPA
TX692618OtherINDIVIDUAL MEDICARE LINKED MD HOSPITALISTS PLLC
TX3501819-01Medicaid