Individual
MISCHEL D BALAZS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CNP
Contact information
Practice address
2142 N COVE BLVD, 5 FLOOR, TOLEDO, OH 43606-3895
(419) 291-4225
(419) 479-6193
Mailing address
2142 N COVE BLVD, 5 FLOOR, TOLEDO, OH 43606-3895
(419) 291-4225
(419) 479-6193
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
COA09578
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000532495
ANTHEM
OH
05
—
2857565
—
OH
01
—
48473
HEALTH PLAN OF MI
MI
Enumeration date
09/11/2007
Last updated
08/22/2013
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