Ivana Archual, CNP | |
1730 W 25th St, Cleveland, OH 44113-3108 | |
(216) 696-4300 | |
Not Available |
Full Name | Ivana Archual |
---|---|
Gender | Female |
Speciality | Nurse Practitioner |
Experience | 9 Years |
Location | 1730 W 25th St, Cleveland, Ohio |
Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1164899506 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LF0000X | Nurse Practitioner - Family | APRN.CNP.18057 (Ohio) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Lutheran Hospital | Cleveland, OH | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Lutheran Hospital | 2466358387 | 16 |
Entity Name | Lutheran Hospital |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1962437947 PECOS PAC ID: 2466358387 Enrollment ID: O20031211000147 |
Mailing Address | Practice Location Address |
---|---|
Ivana Archual, CNP 1554 Clarence Ave, Lakewood, OH 44107-4892 Ph: () - | Ivana Archual, CNP 1730 W 25th St, Cleveland, OH 44113-3108 Ph: (216) 696-4300 |
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