Individual
CARISSA SUE HORNING
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DNP, CRNA
Contact information
Practice address
5301 MCAULEY DR, YPSILANTI, MI 48197-1051
(734) 712-3000
Mailing address
9010 BROOKLINE AVE, PLYMOUTH, MI 48170-4012
(734) 444-8026
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
4704310689
MI
367500000X
Certified Registered Nurse Anesthetist
Primary
4704310689
MI
Other
Enumeration date
09/13/2022
Last updated
09/13/2022
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