| Nancy Diffenbacher, CNP | |
| 
					23425 Commerce Park, Beachwood, OH 44122-5844  | |
| (216) 831-2900 | |
| Not Available | 
| Full Name | Nancy Diffenbacher | 
|---|---|
| Gender | Female | 
| Speciality | Nurse Practitioner - Psychiatric/mental Health | 
| Location | 23425 Commerce Park, Beachwood, Ohio | 
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1447379359 | NPI | - | NPPES | 
| 2204831 | Medicaid | OH | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 163W00000X | Registered Nurse | 166572 (Ohio) | Secondary | 
| 363LP0808X | Nurse Practitioner - Psychiatric/mental Health | APRN.CNP.02802 (Ohio) | Primary | 
| Entity Name | Debalzo, Elgudin. Levine, Risen Llc | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1396286191 PECOS PAC ID: 3072880715 Enrollment ID: O20170530001838  | 
| Mailing Address | Practice Location Address | 
|---|---|
| Nancy Diffenbacher, CNP 1501 Marlowe Ave, Lakewood, OH 44107-4320 Ph: (216) 226-4957  | Nancy Diffenbacher, CNP 23425 Commerce Park, Beachwood, OH 44122-5844 Ph: (216) 831-2900  | 
Megan Hebb,  Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3609 Park East Dr Ste 207, Beachwood, OH 44122 Phone: 216-360-9449  | |
Trisha Tyo, CNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3999 Richmond Rd, Beachwood, OH 44122 Phone: 740-707-3874  | |
Ms. Shenika Todd, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 27030 Cedar Rd Apt 403, Beachwood, OH 44122 Phone: 216-337-9406  | |
Amrithpal Kaur Brar,  Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 25700 Science Park Dr Ste 210, Beachwood, OH 44122 Phone: 216-450-1613  | |
Ms. Sally Ann Yozipovich, RN, CNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 26900 Cedar Rd, Beachwood, OH 44122 Phone: 216-839-3150 Fax: 216-839-3195  | |
Mrs. Samantha May Wilson, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 24100 Chagrin Blvd Ste 430, Beachwood, OH 44122 Phone: 216-255-5201  | |
Laura Nikole Erskine Penix, AGACNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 26900 Cedar Rd, Beachwood, OH 44122 Phone: 216-839-3000  |