Jennifer Anderson, CRNA
Nurse Anesthetist, Certified Registered in Royal Oak, MI. Individual provider (NPI-1).
NPI number1851440515
StatusActive
Last updated in NPPESOct 27, 2020
Details
- NPI
- 1851440515
- Entity type
- Individual (NPI-1)
- Name
- Jennifer Anderson
- Credential
- CRNA
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jan 10, 2007
- Certification date
- Oct 27, 2020
- Last updated
- Oct 27, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 367500000X | Nurse Anesthetist, Certified Registered | 4704230348 | MI | Yes |
Practice location
3601 W 13 Mile RdRoyal Oak, MI 48073-6769
Phone 248-898-5000
Mailing address
3601 W 13 Mile RdRoyal Oak, MI 48073-6769
Phone 248-898-5000
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