Andrea M Mastracci CRNA

NPI 1053390518 - Nurse Anesthetist, Certified Registered - 367500000X

NPI Details
NPI 1053390518
Gender Female
Enumeration Date 01/12/2006
Last Updated 07/09/2007
Entity Type Individual
Active Over 10 years ago
Practice Location
790 KENSINGTON LN
BLOOMFIELD HILLS MI, 48304-3744, US
Phone (734) 241-3891
Fax (734) 241-0014
Business Location
5623 E DUNBAR RD
MONROE MI, 48161-9127, US
Phone (734) 241-3891
Fax (734) 241-0014
Toxanomy
Taxonomy Code 367500000X
License State Michigan
License Number 4704161783
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According to our database, Andrea M Mastracci CRNA NPI is 1053390518, taxonomy code is 367500000X and license number is 4704161783, license state is located at Michigan. Andrea M Mastracci CRNA physically located at 790 Kensington Ln, Bloomfield Hills MI, 48304-3744. NPI Number Andrea M Mastracci CRNA has the Individual type.

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1053390518 NPI number is provided on an as is basis without warranty of any kind. 1053390518 is maintained by the National Plan & Provider Enumeration System. The contents of Andrea M Mastracci CRNA are for informational purposes only.