Individual
MARIA MIDENA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DNP, CRNA
Contact information
Practice address
200 JEFFERSON AVE SE, GRAND RAPIDS, MI 49503-4502
(616) 685-5000
Mailing address
2524 E KIMMEL RD, JACKSON, MI 49201-8724
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
4704338437
MI
Other
Enumeration date
07/24/2022
Last updated
12/06/2024
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