Individual
IVANA ARCHUAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNP
Contact information
Practice address
1730 W 25TH ST, CLEVELAND, OH 44113-3108
(216) 696-4300
Mailing address
1554 CLARENCE AVE, LAKEWOOD, OH 44107-4892
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
APRN.CNP.18057
OH
Other
Enumeration date
09/01/2015
Last updated
09/27/2022
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