Individual provider · Type 1 NPI

Lisa M. Wodtke, CRNA

Certified Registered Nurse Anesthetist · Warren, MI

NPI number 1962569152 Active

Practice location

11800 E 12 Mile Rd
Warren, MI 48093-3472

Fax (586) 573-5364

Specialties and licenses

TaxonomyCodeLicense
Certified Registered Nurse Anesthetist Primary 367500000X4704163773 (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 1962569152

Lisa M. Wodtke, CRNA's National Provider Identifier is 1962569152, issued on Jan 3, 2007. The primary taxonomy on file is Certified Registered Nurse Anesthetist (367500000X), and the practice location is in Warren, MI. The record was last updated on Jul 8, 2007.