| Loreen Faye Ibala, RN, BSN, FNP-C | |
|
2420 Lake Avenue, Ashtabula, OH 44004 | |
| (440) 997-6910 | |
| Not Available |
| Full Name | Loreen Faye Ibala |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner - Family |
| Location | 2420 Lake Avenue, Ashtabula, Ohio |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1497028146 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | 210270 (Alaska) | Secondary |
| 363LF0000X | Nurse Practitioner - Family | 337114 (New York) | Primary |
| Entity Name | Peacehealth |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1801965736 PECOS PAC ID: 9436067618 Enrollment ID: O20031106000460 |
| Mailing Address | Practice Location Address |
|---|---|
| Loreen Faye Ibala, RN, BSN, FNP-C 2218 West 9th Street, Ashtabula, OH 44004 Ph: (646) 251-7387 | Loreen Faye Ibala, RN, BSN, FNP-C 2420 Lake Avenue, Ashtabula, OH 44004 Ph: (440) 997-6910 |
Jennie Ashley, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2259 Lake Ave, Ashtabula, OH 44004 Phone: 440-994-7654 | |
Carol G Kercher, CRNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1230 Lake Ave, Ashtabula, OH 44004 Phone: 440-964-2218 Fax: 440-964-8067 | |
Crystal Lynn Severino, NP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3315 N Ridge Rd E Ste 700a, Ashtabula, OH 44004 Phone: 440-484-2130 | |
Diana Bucher, APRN-CNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 635 Lake Ave, Ashtabula, OH 44004 Phone: 440-812-9126 | |
Ms. Erin Frances Siegel, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 3315 N Ridge Rd E Ste 100, Ashtabula, OH 44004 Phone: 440-964-8387 | |
Mrs. Melissa Anne Vance, FNP-BC, DCNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2141 Lake Ave, Ashtabula, OH 44004 Phone: 440-443-0442 Fax: 440-755-8010 | |
Candice Pollard-reed, CRNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 4726 Main Ave, Ashtabula, OH 44004 Phone: 440-992-8552 |