Individual
NICOLE BASHALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
9500 EUCLID AVE, CLEVELAND, OH 44195-0002
(216) 444-2200
Mailing address
9500 EUCLID AVE, CLEVELAND, OH 44195-0001
(216) 906-4893
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
35.151347
OH
207L00000X
Anesthesiology Physician
MT216906
PA
207LC0200X
Critical Care Medicine (Anesthesiology) Physician
MT216906
PA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/12/2017
Last updated
12/31/2024
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