Healthcare Provider Details
I. General information
NPI: 1447751664
Provider Name (Legal Business Name): BREA E LOEWIT ABBEY CNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N
II. Dates (important events)
Enumeration Date: 02/22/2018
Last Update Date: 03/27/2025
Certification Date: 03/27/2025
Deactivation Date:
Reactivation Date:
III. Provider practice location address
6847 N CHESTNUT ST
RAVENNA OH
44266-3929
US
IV. Provider business mailing address
8055 MAYFIELD RD STE 105
CHESTERLAND OH
44026-2447
US
V. Phone/Fax
- Phone: 330-297-8403
- Fax:
- Phone: 440-214-8026
- Fax: 216-201-7963
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 363LF0000X |
| Taxonomy | Family Nurse Practitioner |
| License Number | APRN.CNP.022220 |
| License Number State | OH |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: