Individual
MENUSA BORGNES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
4201 SAINT ANTOINE ST, DETROIT, MI 48201-2153
(313) 745-3607
Mailing address
PO BOX 67000, DEPT 203401, DETROIT, MI 48267-2034
(952) 442-9770
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
4704230794
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0860872
BCBSM PIN
MI
Enumeration date
10/20/2009
Last updated
02/04/2010
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