Individual
MICHELLE DOUGLAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
6225 N STATE HIGHWAY 161 STE 200, IRVING, TX 75038-2241
(425) 417-1231
Mailing address
6225 N STATE HIGHWAY 161 STE 200, IRVING, TX 75038-2241
(425) 417-1231
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
108026
MA
Other
Enumeration date
01/11/2016
Last updated
02/16/2021
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