Xin Tan CRNA

NPI 1366830580 - Nurse Anesthetist, Certified Registered - 367500000X

NPI Details
NPI 1366830580
Gender Female
Enumeration Date 12/23/2014
Last Updated 12/23/2014
Entity Type Individual
Active Over 1 year ago
Practice Location
3990 JOHN R ST
DETROIT MI, 48201-2018, US
Phone (313) 745-7600
Fax (952) 442-3620
Business Location
CAROL STREAM IL, 60122-4676, US
Phone (952) 442-9770
Fax (952) 442-3620
Taxonomy Code 367500000X
License State Michigan
License Number 4704272779
Remove 1366830580 NPI Number

According to our database, Xin Tan CRNA NPI is 1366830580, taxonomy code is 367500000X and license number is 4704272779, license state is located at Michigan. Xin Tan CRNA physically located at 3990 John R St, Detroit MI, 48201-2018. NPI Number Xin Tan CRNA has the Individual type.

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1366830580 NPI number is provided on an as is basis without warranty of any kind. 1366830580 is maintained by the National Plan & Provider Enumeration System. The contents of Xin Tan CRNA are for informational purposes only.