Individual
MRS. MARY J AYMEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
1100 S VAN DYKE RD, BAD AXE, MI 48413-9615
(989) 269-9521
(989) 269-5216
Mailing address
1100 S VAN DYKE RD, BAD AXE, MI 48413-9615
(989) 269-9521
(989) 269-5216
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
4704175266
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
140539
GLHP CRNA NUMBER
MI
05
—
3140909
—
MI
Enumeration date
01/23/2007
Last updated
10/30/2018
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