Individual
MS. DENISE A. FOTENAKES
Active
Individual
MS. DENISE A. FOTENAKES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
4704117028
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0B56166
BLUE SHIELD
MI
05
—
2904699
—
MI
Enumeration date
08/19/2006
Last updated
07/08/2007
Update your record
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