Individual
ALYSSA R ROEGNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
2799 W GRAND BLVD, DETROIT, MI 48202-2689
(313) 916-2600
Mailing address
54817 LAWSON CREEK DR, SHELBY TWP, MI 48316-3175
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
4704310398
MI
367500000X
Certified Registered Nurse Anesthetist
Primary
APRN11038397
FL
367500000X
Certified Registered Nurse Anesthetist
RN10000050
MA
Other
Enumeration date
04/24/2015
Last updated
09/23/2025
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