Unknown Individual – Certified Registered Nurse Anesthetist, NPI 1619961471
Certified Registered Nurse Anesthetist
Main info
Profile Insights
NPPES metrics only — not quality of care.
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Provider Addresses for Unknown Individual
Park Forest Drive, Brookside, Garfield Township, Grand Traverse County, Michigan, 49684, United States
SUITE 210
TRAVERSE CITY, MI 496847331
Phone: (231) 935-5770
Fax: (231) 935-0747
Mailing address matches the actual address.
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
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Medicare Enrollment & Revalidation
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No Medicare enrollment or revalidation data available for this provider in our database.
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Medicare Utilization (FFS)
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No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 49684)
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