Basic Information
| Provider Information | |||||||||
| NPI: | 1982679080 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | BLIX | ||||||||
| FirstName: | SANDRA | ||||||||
| MiddleName: | SLOANE | ||||||||
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| Credential: | CRNA | ||||||||
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| Mailing Information | |||||||||
| Address1: | 31 N SAINT JOSEPH AVE | ||||||||
| Address2: | |||||||||
| City: | NILES | ||||||||
| State: | MI | ||||||||
| PostalCode: | 491202207 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 2696871879 | ||||||||
| FaxNumber: | 2696830104 | ||||||||
| Practice Location | |||||||||
| Address1: | 31 N SAINT JOSEPH AVE | ||||||||
| Address2: | |||||||||
| City: | NILES | ||||||||
| State: | MI | ||||||||
| PostalCode: | 491202207 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 2696871879 | ||||||||
| FaxNumber: | 2696830104 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 02/22/2006 | ||||||||
| LastUpdateDate: | 12/10/2019 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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| NPICertificationDate: | 12/10/2019 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 367500000X | 4704176326 | MI | Y | Physician Assistants & Advanced Practice Nursing Providers | Nurse Anesthetist, Certified Registered |
ID Information
| ID | Type | State | Issuer | Description | 4299414 | 05 | MI | MEDICAID |