Provider Demographics
NPI:1639863855
Name:BIONDI, EMILY MUGLER (CNM)
Entity Type:Individual
Prefix:
First Name:EMILY
Middle Name:MUGLER
Last Name:BIONDI
Suffix:
Gender:F
Credentials:CNM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2462 QUEENSTON RD
Mailing Address - Street 2:
Mailing Address - City:CLEVELAND HEIGHTS
Mailing Address - State:OH
Mailing Address - Zip Code:44118-4316
Mailing Address - Country:US
Mailing Address - Phone:434-249-0524
Mailing Address - Fax:
Practice Address - Street 1:9176 WINESBURG RD
Practice Address - Street 2:
Practice Address - City:DUNDEE
Practice Address - State:OH
Practice Address - Zip Code:44624-9437
Practice Address - Country:US
Practice Address - Phone:434-249-0524
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-06-08
Last Update Date:2024-01-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHAPRN.CNM.0019579367A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes367A00000XPhysician Assistants & Advanced Practice Nursing ProvidersAdvanced Practice Midwife