Individual
ANJOINETTE LOVE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
6071 W OUTER DR, DETROIT, MI 48235-2624
(952) 442-9770
Mailing address
DEPARTMENT 4676, CAROL STREAM, IL 60122-4676
(952) 442-9770
(952) 442-3620
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
4704197894
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
104718988
—
MI
01
—
AL197894
BLUE CROSS OF MI
MI
Enumeration date
05/01/2006
Last updated
11/06/2014
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