Individual provider · Type 1 NPI

John Pemberton, CRNA

Certified Registered Nurse Anesthetist · West Bloomfield, MI

NPI number 1093406514 Active

Practice location

6777 W Maple Rd
West Bloomfield, MI 48322-3013

Mailing address

1 Ford Pl Ste 3A
Detroit, MI 48202-3450

Other practice locations

  • 23491 Norwood St, Oak Park, MI 48237-2203 · (248) 495-9694

Specialties and licenses

TaxonomyCodeLicense
Certified Registered Nurse Anesthetist Primary 367500000X4704327563 (MI)
Registered Nurse 163W00000X4704327563 (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 1093406514

John Pemberton, CRNA's National Provider Identifier is 1093406514, issued on May 16, 2023. The primary taxonomy on file is Certified Registered Nurse Anesthetist (367500000X), and the practice location is in West Bloomfield, MI. The record was last updated on Jul 16, 2026.