Ivich, Johanna

Ivich, Johanna is an individual health care provider with primary practice located at 13535 Nemours Pkwy , Orlando FL 32827-7402. She recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Neonatal-Perinatal Medicine, Physician Assistants & Advanced Practice Nursing Providers / Neonatal, Critical Care, Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner. Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner is her primary health care specialty. Ivich, Johanna can be contacted via phone (407) 567-4000.

Contact Information

Primary practice address
13535 Nemours Pkwy Orlando FL 32827-7402
Phone: (407) 567-4000
Fax: (407) 567-5924
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Neonatal-Perinatal Medicine 2080N0001X ARNP9363820 Florida
Physician Assistants & Advanced Practice Nursing Providers / Neonatal, Critical Care 363LN0005X ARNP9363820 Florida
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X ARNP9363820 Florida

Profile Details

NPI number 1952746703
LBN Legal business name Ivich, Johanna
Credentials NNP-BC
Entity Individual
Sole proprietor 1 No
Enumeration date May 7th, 2013
Last updated Oct 19th, 2020 - about 6 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1952746703 NPPES
Florida MEDICAID 100145500
Florida Other AL8JF

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