Individual
MRS. MICHELLE L CACCHIONE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
2893 N. RIDGE EAST, ASHTABULA, OH 44004
(440) 998-0000
(440) 998-0003
Mailing address
5529 SHADYBROOK DR, ERIE, PA 16506-6508
(440) 998-0000
(440) 998-0003
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
RN310794L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2309997
—
OH
Enumeration date
09/06/2005
Last updated
05/07/2013
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