Individual
BROOKE DENAE METIVA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
1355 BOGUE ST, EAST LANSING, MI 48824-6207
(800) 605-6424
Mailing address
7927 CELOSIA DR, LANSING, MI 48917-7743
(989) 313-9273
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
4704309328
MI
Other
Enumeration date
02/20/2025
Last updated
05/19/2025
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