Provider Demographics
NPI:1366977431
Name:BLATZ, MARYANN (DNP, RNC-NIC, IBCLC)
Entity type:Individual
Prefix:DR
First Name:MARYANN
Middle Name:
Last Name:BLATZ
Suffix:
Gender:F
Credentials:DNP, RNC-NIC, IBCLC
Other - Prefix:
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Mailing Address - Street 1:11100 EUCLID AVE
Mailing Address - Street 2:RBC NICU UNIVERSITY HOSPITALS CLEVELAND MEDICAL CENTER
Mailing Address - City:CLEVELAND
Mailing Address - State:OH
Mailing Address - Zip Code:44106-1716
Mailing Address - Country:US
Mailing Address - Phone:216-844-1922
Mailing Address - Fax:216-844-5629
Practice Address - Street 1:11100 EUCLID AVE
Practice Address - Street 2:RBC NICU UNIVERSITY HOSPITALS CLEVELAND MEDICAL CENTER
Practice Address - City:CLEVELAND
Practice Address - State:OH
Practice Address - Zip Code:44106-1716
Practice Address - Country:US
Practice Address - Phone:216-844-1922
Practice Address - Fax:216-844-5629
Is Sole Proprietor?:No
Enumeration Date:2017-04-26
Last Update Date:2017-04-26
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
OHOH 185619163WL0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WL0100XNursing Service ProvidersRegistered NurseLactation Consultant