Individual
PAULA ELAINE JANKOWSKI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
18101 OAKWOOD BLVD, DEARBORN, MI 48124-4089
(313) 436-2374
Mailing address
DEPT 203401, PO BOX 67000, DETROIT, MI 48267-0001
(952) 442-9770
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN9458767
FL
367500000X
Certified Registered Nurse Anesthetist
Primary
4704159019
MI
367500000X
Certified Registered Nurse Anesthetist
APRN9458767
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
104796213
—
MI
01
—
PL159019
BLUE CROSS OF MI
MI
Enumeration date
04/20/2006
Last updated
12/08/2020
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