Individual
SUSAN ELLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
2213 CHERRY ST, TOLEDO, OH 43608
(419) 251-3232
(419) 251-3859
Mailing address
2409 CHERRY ST, # 305, TOLEDO, OH 43608
(419) 251-3740
(419) 251-3859
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
151065
OH
367500000X
Certified Registered Nurse Anesthetist
Primary
151065
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0756329
—
OH
Enumeration date
05/30/2006
Last updated
08/01/2008
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