Organization
MELIUS ANESTHESIA LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
HEIDI F BALDWIN CRNA (OWNER)
(440) 796-8377
Entity
Organization
Contact information
Practice address
150 SEVENTH AVE, CHARDON, OH 44024-2908
(440) 285-2900
(440) 286-2905
Mailing address
4135 BOARDMAN CANFIELD RD STE 101, CANFIELD, OH 44406-9803
(330) 286-5330
(330) 286-5396
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
RN.206072
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PENDING
MEDICARE PTAN
OH
05
—
PENDING
—
OH
Enumeration date
07/10/2017
Last updated
07/10/2017
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