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NANCY IVANSEK PA-C,M.A.

>> Physician Assistant >> Physician Assistants & Advanced Practice Nursing Providers

Registrant NPI Number: 1649377961

Individual Registrant:
 NANCY  IVANSEK PA-C,M.A.
Gender: F
Not Sole Proprietor

Location and contact information for practice:
10780 KINSMAN RD  NEWBURY, OH 44065-0537 US
Tel: 440-564-5656  Fax: 440-564-5719

Contact information for business:
PO BOX 537  NEWBURY, OH 44065-0537 US
Tel: 440-564-5656  Fax: 440-564-5719

Registration Information:
NPI: 1649377961
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y363A00000XPhysician Assistants & Advanced Practice Nursing Providers
Physician Assistant
OH50000392

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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