Organization
TIVA ASSOCIATES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ELIZABETH COUTURE CRNA (PRESIDENT)
(734) 241-3891
Entity
Organization
Contact information
Practice address
43475 DALCOMA DR STE 150, CLINTON TOWNSHIP, MI 48038-3594
(248) 709-6289
Mailing address
4014 DURHAM RD, ROYAL OAK, MI 48073-1957
(248) 709-6259
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
—
—
Other
Enumeration date
10/23/2023
Last updated
10/23/2023
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