Christina L Mandalis-Defour in Clinton Twp - Nurse Anesthetist, Certified Registered
Christina L Mandalis-Defour - NPI 1477691277
Christina L Mandalis-Defour is a Nurse Anesthetist, Certified Registered in Clinton Twp, Michigan. Christina L Mandalis-Defour practices all healthcare services and medical treatments related to Nurse Anesthetist, Certified Registered. The NPI Number for Christina L Mandalis-Defour is 1477691277. The last update date is 2022-06-01.
Christina L Mandalis-Defour's current location address is 15855 19 Mile Rd, Clinton Twp, Michigan. You can contact this provider via phone number 5862632370. The mailing address for Christina L Mandalis-Defour is 15855 19 Mile Rd, Clinton Twp, Michigan. To know further, please read the information below!
Provider Profile Detail
Provider Name | Christina L Mandalis-Defour |
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Address | 15855 19 Mile Rd, Clinton Twp, Michigan |
Phone Number | 5862632370 |
Fax Number | |
Sole Proprietor | N |
Credentials | CRNA |
NPI Number Detail
NPI Number | 1477691277 |
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Provider Enumeration Date | 2007-02-02 |
Last Updated Date | 2022-06-01 |
Provider Mailing Address Detail
Address | 15855 19 Mile Rd |
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City | Clinton Twp |
State | Michigan (MI) |
Post Code | 480383504 |
Phone Number | 5862632370 |
Fax Number |
Provider's Primary Taxonomy Detail
Speciality | Nurse Anesthetist, Certified Registered |
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Taxonomy | 367500000X |
Licence No | 4704215164 |
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 |
Provider's Other Legacy Identifiers
Identifier | Identifier Type | Identifier State | Identifier Issuer |
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4445020 | MI | -- |
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What is the unique 10-digit identification code assigned to Christina L Mandalis-Defour by the Centers for Medicare & Medicaid Services?
The Christina L Mandalis-Defour has been issued the NPI (National Provider Identifier) 1477691277, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Can you provide the Christina L Mandalis-Defour's physical address?
The Christina L Mandalis-Defour is physically located at 15855 19 Mile Rd, in the city of Clinton Twp, MI, with the postal code 480383504.
What is the Christina L Mandalis-Defour's area of specialization and corresponding taxonomy classification?
The Christina L Mandalis-Defour's specialty field is Nurse Anesthetist, Certified Registered, and it falls under the taxonomy code 367500000X, which categorizes healthcare providers based on their specialties.
On what date did the Centers for Medicare & Medicaid Services assign the 1477691277 to Christina L Mandalis-Defour?
The Centers for Medicare & Medicaid Services assigned the 1477691277 to Christina L Mandalis-Defour on 2007-02-02.
When was the information pertaining to Christina L Mandalis-Defour most recently updated or revised?
The details related to Christina L Mandalis-Defour, including its address, specialty, and other relevant information, were last updated or revised on 2022-06-01.
NPI Number: 1215930425
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