Provider Demographics
NPI:1598169989
Name:KRESCH, ILANA (CNM)
Entity Type:Individual
Prefix:
First Name:ILANA
Middle Name:
Last Name:KRESCH
Suffix:
Gender:F
Credentials:CNM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:29160 CENTER RIDGE RD STE M
Mailing Address - Street 2:
Mailing Address - City:WESTLAKE
Mailing Address - State:OH
Mailing Address - Zip Code:44145-5258
Mailing Address - Country:US
Mailing Address - Phone:440-835-6996
Mailing Address - Fax:440-808-9387
Practice Address - Street 1:29160 CENTER RIDGE RD STE M
Practice Address - Street 2:
Practice Address - City:WESTLAKE
Practice Address - State:OH
Practice Address - Zip Code:44145-5258
Practice Address - Country:US
Practice Address - Phone:440-835-6996
Practice Address - Fax:440-808-9387
Is Sole Proprietor?:No
Enumeration Date:2014-10-15
Last Update Date:2021-01-14
Deactivation Date:
Deactivation Code:
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes367A00000XPhysician Assistants & Advanced Practice Nursing ProvidersAdvanced Practice Midwife