Individual provider · Type 1 NPI

Tia Dominique Agboruche

Certified Registered Nurse Anesthetist · Detroit, MI

NPI number 1013687029 Active

Practice location

20418 Binder St
Detroit, MI 48234-1913

Call (313) 333-4038 Map

Other practice locations

410 W 10th Ave Fl 1, Columbus, OH 43210-1240 · (614) 293-8487

Specialties and licenses

Taxonomy	Code	License
Registered Nurse	163W00000X	4704311021 (MI)
Certified Registered Nurse Anesthetist	367500000X	APRN.CRNA.0021121 (OH)
Certified Registered Nurse Anesthetist Primary	367500000X	4704311021 (MI)

Certified Registered Nurse Anesthetist: (1) A licensed registered nurse with advanced specialty education in anesthesia who, in collaboration with appropriate health care professionals, provides preoperative, intraoperative, and postoperative care to patients and assists in management and resuscitation of critical patients in intensive care, coronary care, and emergency situations. Nurse anesthetists are certified following successful completion of creden…

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About NPI 1013687029

Tia Dominique Agboruche's National Provider Identifier is 1013687029, issued on Sep 20, 2021. The primary taxonomy on file is Certified Registered Nurse Anesthetist (367500000X), and the practice location is in Detroit, MI. The record was last updated on Oct 7, 2024.