Organization · Type 2 NPI

Henry Ford Health Providence Hospital

Certified Registered Nurse Anesthetist · Southfield, MI

NPI number 1851339196 Active

Practice location

16001 W 9 Mile Rd
Southfield, MI 48075-4818

Mailing address

PO Box 670884
Detroit, MI 48267-0884

Other practice locations

  • 47601 Grand River Ave, Novi, MI 48374-1233 · (248) 465-4249

Specialties and licenses

TaxonomyCodeLicense
Certified Registered Nurse Anesthetist Primary 367500000XNone listed

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 1851339196

Henry Ford Health Providence Hospital's National Provider Identifier is 1851339196, issued on Jun 2, 2006. The primary taxonomy on file is Certified Registered Nurse Anesthetist (367500000X), and the practice location is in Southfield, MI. The record was last updated on Jul 16, 2026.