Katherine Haines CRNA

NPI 1063466720 - Nurse Anesthetist, Certified Registered - 367500000X

NPI Details
NPI 1063466720
Gender Female
Enumeration Date 05/19/2006
Last Updated 07/08/2007
Entity Type Individual
Active Over 10 years ago
Practice Location
30671 STEPHENSON HWY
MADISON HEIGHTS MI, 48071-1635, US
Phone (952) 442-9770
Fax
Business Location
DEPT 203401
PO BOX 67000
DETROIT MI, 48267-0001, US
Phone (952) 442-9770
Fax (952) 442-3630
Toxanomy
Taxonomy Code 367500000X
License State Michigan
License Number 4704140169
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According to our database, Katherine Haines CRNA NPI is 1063466720, taxonomy code is 367500000X and license number is 4704140169, license state is located at Michigan. Katherine Haines CRNA physically located at 30671 Stephenson Hwy, Madison Heights MI, 48071-1635. NPI Number Katherine Haines CRNA has the Individual type.

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1063466720 NPI number is provided on an as is basis without warranty of any kind. 1063466720 is maintained by the National Plan & Provider Enumeration System. The contents of Katherine Haines CRNA are for informational purposes only.