Individual provider · Type 1 NPI

Janis Illson, CRNA

Certified Registered Nurse Anesthetist · Detroit, MI

NPI number 1124147020 Active

Practice location

6071 W Outer Dr
Detroit, MI 48235-2624

Mailing address

28500 Orchard Lake Rd
Farmington Hills, MI 48334-2936

Specialties and licenses

TaxonomyCodeLicense
Certified Registered Nurse Anesthetist Primary 367500000X4704106883 (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 1124147020

Janis Illson, CRNA's National Provider Identifier is 1124147020, issued on Mar 29, 2007. 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 Jul 8, 2007.