Kristin Bock, CRNA
Nurse Anesthetist, Certified Registered in Clinton Township, MI. Individual provider (NPI-1).
NPI number1275009714
StatusActive
Last updated in NPPESMay 13, 2025
Details
- NPI
- 1275009714
- Entity type
- Individual (NPI-1)
- Name
- Kristin Bock
- Credential
- CRNA
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Oct 23, 2018
- Certification date
- May 13, 2025
- Last updated
- May 13, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 367500000X | Nurse Anesthetist, Certified Registered | 4704300501 | MI | Yes |
| 363LF0000X | Nurse Practitioner, Family | 4704300501 | MI |
Practice location
15855 19 Mile RdClinton Township, MI 48038-3504
Phone 586-263-2300
Mailing address
15855 19 Mile RdClinton Township, MI 48038-3504
Phone 586-263-2300
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