Individual
MS. ELLOWEESE DENISE FREER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
1325 S LINDEN RD, FLINT, MI 48532-3408
(810) 535-5555
Mailing address
1325 S LINDEN RD, FLINT, MI 48532-3408
(810) 535-5555
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
4704138274
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
11909884
CAQH
MI
05
—
1790895720
—
MI
01
—
4308761060
BCBS
MI
Enumeration date
08/31/2006
Last updated
06/16/2018
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