Individual
JANET M SIMULA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
580 W COLLEGE AVE, MARQUETTE, MI 49855-2705
(906) 225-3406
(906) 225-3094
Mailing address
616 W HAMPTON ST, MARQUETTE, MI 49855-5037
(906) 226-9861
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
4704143589
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
103078624
—
MI
01
—
430023604
RAILROAD MEDICARE PIN
MI
01
—
43401300
WISC MEDICAID PIN
WI
01
—
JS143589
BLUESHIELD PIN
MI
Enumeration date
11/15/2005
Last updated
04/25/2008
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