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Individual

MS. MICHELLE LEE PATTERSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CRNA

Contact information

Practice address
9614 OLD JOHNNYCAKE RIDGE RD, CONCORD TOWNSHIP, OH 44060-6521
(440) 205-1225
Mailing address
8419 RAVENNA RD, TWINSBURG, OH 44087-2422
(704) 287-2902

Taxonomy

Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
4137A
SC
367500000X
Certified Registered Nurse Anesthetist
Primary
APRN.CRNA.0020352
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0471103
OH
05
8051844
NC
05
NAN637
SC
Enumeration date
06/29/2006
Last updated
03/02/2022
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