Individual
KELSEY ELISE LARIOS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
9111 COUNTRYWOOD DR, PLYMOUTH, MI 48170-5727
(734) 660-1339
Mailing address
849 PALMER ST, PLYMOUTH, MI 48170-2056
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
4704340814
MI
367500000X
Certified Registered Nurse Anesthetist
Primary
4704340814
MI
Other
Enumeration date
07/10/2021
Last updated
06/02/2025
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