Individual
EVELYN MARIE USHMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
718 N MACOMB ST, MONROE, MI 48162-7815
(734) 240-5238
(734) 240-5273
Mailing address
718 N MACOMB ST, MONROE, MI 48162-7815
(734) 240-5238
(734) 240-5273
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
4704165724
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2710701
—
MI
Enumeration date
10/02/2006
Last updated
07/08/2007
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