Individual
MRS. SUSAN MARIE WHITBREAD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
205 NORTH EAST AVENUE, JACKSON, MI 49201-1753
(517) 788-4963
Mailing address
7 PARKWAY CENTER, SUITE 375, PITTSBURGH, PA 15220
(412) 937-5700
(412) 937-5739
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
4704085006
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
034805
CRNA AANA
—
Enumeration date
11/08/2006
Last updated
07/08/2007
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