Individual
PATRICIA ANN NOBRA-ZOLTOWSKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
3990 JOHN R ST, DETROIT, MI 48201-2018
(952) 442-9770
Mailing address
PO BOX 67000, DEPT 206401, DETROIT, MI 48267-0002
(952) 442-9770
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
4704164664
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
104329489
—
MI
01
—
PN164664
BLUE CROSS OF MI
MI
Enumeration date
07/26/2006
Last updated
09/03/2010
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