Blake Wollam
Blake Wollam is a Nurse Practitioner in Mentor, Ohio. Qualified in 2022, 4 years ago. Practices with Cleveland Clinic, a 6,935-clinician group and accepts Medicare assignment. Licensed in Ohio.
- Years since qualifying
- 4
- Licensed in
- OH
- In the registry since
- 2022
Practice location Address checks out
7060 Wayside DrMentor, OH 44060-6527
Phone: (440) 357-2770
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Family Nurse Practitioner (primary) | Taxonomy 363LF0000X · Licence APRN.CNP.0031396 (OH) |
|---|
Record details
| NPI number | 1013643048 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | No |
| NPI enumerated | August 1, 2022 |
| Last updated in NPPES | August 1, 2022 |
| Certification date | July 31, 2022 |
| Mailing address | 2157 Lakeland Ave, Lakewood, OH 44107-5715 |
Medicare enrollment
| Medicare specialty | NURSE PRACTITIONER |
|---|---|
| Medical school | OTHER |
| Graduated | 2022 (4 years in practice) |
| Group practice | Cleveland Clinic — 6935 clinicians |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |
Other providers in Mentor
-
MS. Jeena Shailesh Shah, FNP
7951 Champaign Dr, Mentor, OH 44060-4076 · (440) 477-0388
-
Gina M Sumpter, NP
9485 Mentor Ave Ste 210, Mentor, OH 44060 · (440) 255-5571
-
Sarah Vanvechten
7232 Justin Way, Mentor, OH 44060-4881 · (440) 578-8200
-
Allison Nicole Von Carlowitz, CNP
8491 Esther St, Mentor, OH 44060-6007 · (440) 409-1032