Individual
ERICA SOTTILE
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) 240-5252
(734) 240-5345
Mailing address
DEPT 203401, PO BOX 67000, DETROIT, MI 48267-0001
(952) 442-9770
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
4704207884
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
104579258
—
MI
01
—
ES207884
BLUE CROSS OF MI
MI
Enumeration date
05/01/2006
Last updated
11/03/2023
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