Provider Demographics
NPI:1255425914
Name:FREEDMAN, IONE ALBERS (MSN RNC)
Entity type:Individual
Prefix:
First Name:IONE
Middle Name:ALBERS
Last Name:FREEDMAN
Suffix:
Gender:F
Credentials:MSN RNC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1495 LEWIS DRIVE
Mailing Address - Street 2:
Mailing Address - City:LAKEWOOD
Mailing Address - State:OH
Mailing Address - Zip Code:44107
Mailing Address - Country:US
Mailing Address - Phone:216-221-7028
Mailing Address - Fax:
Practice Address - Street 1:12201 EUCLID AVENUE
Practice Address - Street 2:
Practice Address - City:CLEVELAND
Practice Address - State:OH
Practice Address - Zip Code:44106
Practice Address - Country:US
Practice Address - Phone:216-721-4010
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-10-03
Last Update Date:2012-04-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHRN 109822363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH2147260Medicaid
NDCTP03601RXOtherCERTIFICATE TO PRESCRIBE
OHNP03601OtherCOA
OHRN109822OtherRN LICENSE
OH2147260Medicaid