Individual
DENISE ANN CARRIER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
4201 SAINT ANTOINE ST, DETROIT, MI 48201-2153
(952) 442-9770
Mailing address
DEPT 203401, PO BOX 67000, DETROIT, MI 48267-0001
(952) 442-9770
(952) 442-3630
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
4704161784
MI
367500000X
Certified Registered Nurse Anesthetist
47711
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
104300140
—
MI
01
—
DJ161784
BLUE CROSS OF MI
MI
Enumeration date
12/23/2005
Last updated
11/10/2021
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