Individual provider · Type 1 NPI

Michelle Medina, CRNA

Certified Registered Nurse Anesthetist · Camden, NJ

NPI number 1124330329 Active

Practice location

1 Cooper Plz Dept Of
Camden, NJ 08103-1461

Mailing address

100 Route 59, Suite 111
Suffern, NY 10901-4927

Other practice locations

  • 1 Bay Ave, Anesthesia Office, Montclair, NJ 07042-4837 · (973) 429-6219
  • 100 Bowman Dr Fl 2, Voorhees, NJ 08043-9612 · (856) 988-6260

Specialties and licenses

TaxonomyCodeLicense
Certified Registered Nurse Anesthetist 367500000X581615-1 (NY)
Certified Registered Nurse Anesthetist Primary 367500000X26NJ00295000 (NJ)

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 1124330329

Michelle Medina, CRNA's National Provider Identifier is 1124330329, issued on Jul 6, 2010. The primary taxonomy on file is Certified Registered Nurse Anesthetist (367500000X), and the practice location is in Camden, NJ. The record was last updated on Jul 23, 2026.