Individual
ANTONINA CRUDO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
259 MACK AVE, DETROIT, MI 48201-2427
(313) 577-1716
Mailing address
259 MACK AVE, DETROIT, MI 48201-2427
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
4704319101
MI
367500000X
Certified Registered Nurse Anesthetist
Primary
4704319101
MI
Other
Enumeration date
06/13/2025
Last updated
08/27/2025
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