Individual provider · Type 1 NPI

Carmen Marie Licata, CRNA

Certified Registered Nurse Anesthetist · Novi, MI

NPI number 1427988765 Active

Practice location

47601 Grand River Ave
Novi, MI 48374-1233

Mailing address

653 Sweetbriar
Milford, MI 48381-1570

Specialties and licenses

TaxonomyCodeLicense
Certified Registered Nurse Anesthetist Primary 367500000X4704362843 (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 1427988765

Carmen Marie Licata, CRNA's National Provider Identifier is 1427988765, issued on May 20, 2026. The primary taxonomy on file is Certified Registered Nurse Anesthetist (367500000X), and the practice location is in Novi, MI. The record was last updated on Jun 29, 2026.