Mary K Henricksen in Au Train - Nurse Anesthetist, Certified Registered
Mary K Henricksen - NPI 1821070392
Mary K Henricksen is a Nurse Anesthetist, Certified Registered in Au Train, Michigan. Mary K Henricksen practices all healthcare services and medical treatments related to Nurse Anesthetist, Certified Registered. The NPI Number for Mary K Henricksen is 1821070392. The last update date is 2008-04-22.
Mary K Henricksen's current location address is E3110 E Deer Lake Rd, Au Train, Michigan. You can contact this provider via phone number 9068928530. The mailing address for Mary K Henricksen is E3110 E Deer Lake Rd, Au Train, Michigan. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Mary K Henricksen |
|---|---|
| Address | E3110 E Deer Lake Rd, Au Train, Michigan |
| Phone Number | 9068928530 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | CRNA |
NPI Number Detail
| NPI Number | 1821070392 |
|---|---|
| Provider Enumeration Date | 2005-11-18 |
| Last Updated Date | 2008-04-22 |
Provider Mailing Address Detail
| Address | E3110 E Deer Lake Rd |
|---|---|
| City | Au Train |
| State | Michigan (MI) |
| Post Code | 498069512 |
| Phone Number | 9068928530 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Nurse Anesthetist, Certified Registered |
|---|---|
| Taxonomy | 367500000X |
| Licence No | 4704081708 |
|
Definition: (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 |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 104135850 | MI | -- | |
| 43288000 | WI | WI MEDICAID PIN | |
| 430051912 | MI | 430051912 | |
| MH081708 | MI | BLUESHIELD PIN |
Post Comment/ Review Below
What is the unique provider identifier assigned to Mary K Henricksen?
The Mary K Henricksen has been issued the NPI (National Provider Identifier) 1821070392 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you provide the complete physical address where Mary K Henricksen is located?
The Mary K Henricksen is situated at the following address: E3110 E Deer Lake Rd, Au Train, MI, 498069512.
What is Mary K Henricksen's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Mary K Henricksen is Nurse Anesthetist, Certified Registered, and the taxonomy classification code that categorizes this area of expertise is 367500000X.
When did Mary K Henricksen receive its 1821070392 assignment?
The Mary K Henricksen was assigned its 1821070392 on 2005-11-18, which is the date when this unique identifier was issued to the organization.
As of what date was the information pertaining to Mary K Henricksen, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to Mary K Henricksen, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2008-04-22.