Chelsey Divozzo, CRNA
Nurse Anesthetist, Certified Registered in Detroit, MI. Individual provider (NPI-1).
NPI number1013579986
StatusActive
Last updated in NPPESMar 24, 2022
Details
- NPI
- 1013579986
- Entity type
- Individual (NPI-1)
- Name
- Chelsey Divozzo
- Credential
- CRNA
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Jul 1, 2019
- Certification date
- Mar 24, 2022
- Last updated
- Mar 24, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 367500000X | Nurse Anesthetist, Certified Registered | 4704306908 | MI | Yes |
| 163W00000X | Registered Nurse | 4704306908 | MI |
Practice location
22101 Moross RdDetroit, MI 48236-2148
Phone 313-343-4000
Mailing address
25832 Rose StChesterfield, MI 48051-2858
Phone 586-419-2047
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All 377 Certified Registered Nurse Anesthetist providers in Detroit · All 25,238 providers in Detroit
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