Individual
MICHELLE BLOOD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
18101 LORAIN AVE, CLEVELAND, OH 44111-5612
(216) 476-7052
Mailing address
2160 SILVERIDGE TRL, WESTLAKE, OH 44145-1797
(440) 835-9442
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
RN259343
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000355600
ANTHEM PROVIDER NUMBER
OH
05
—
2226648
—
OH
Enumeration date
01/05/2007
Last updated
07/08/2007
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