Individual
NANCY IVANSEK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C,M.A.
Contact information
Practice address
10780 KINSMAN RD, NEWBURY, OH 44065-0537
(440) 564-5656
(440) 564-5719
Mailing address
PO BOX 537, NEWBURY, OH 44065-0537
(440) 564-5656
(440) 564-5719
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
50000392
OH
Other
Enumeration date
09/20/2006
Last updated
07/09/2007
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