=====================================================
General NPI Number Information
=====================================================
NPI Number | 1447751664
-----------------------------------------------------
Entity Type | Individual
-----------------------------------------------------
Provider Name | BREA E LOEWIT ABBEY CNP
-----------------------------------------------------
Gender | Female
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 02/22/2018
-----------------------------------------------------
Last Update Date | 03/27/2025
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 6847 N CHESTNUT ST
-----------------------------------------------------
City | RAVENNA
-----------------------------------------------------
State | OH
-----------------------------------------------------
Zip | 44266-3929
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 330-297-8403
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 8055 MAYFIELD RD STE 105
-----------------------------------------------------
City | CHESTERLAND
-----------------------------------------------------
State | OH
-----------------------------------------------------
Zip | 44026-2447
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 440-214-8026
-----------------------------------------------------
Fax | 216-201-7963
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position |
-----------------------------------------------------
Name |
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone |
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 363LF0000X
-----------------------------------------------------
Taxonomy Name | Family Nurse Practitioner
-----------------------------------------------------
License Number | APRN.CNP.022220
-----------------------------------------------------
License Number State | OH
-----------------------------------------------------