Individual
MICHELLE MEDINA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
1 COOPER PLZ DEPT OF, CAMDEN, NJ 08103-1461
(856) 342-2425
Mailing address
100 ROUTE 59, SUITE 111, SUFFERN, NY 10901-4927
(845) 357-5775
(845) 357-5777
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
26NJ00295000
NJ
367500000X
Certified Registered Nurse Anesthetist
581615-1
NY
Other
Enumeration date
07/06/2010
Last updated
03/18/2025
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