Individual
KRISTEN ANN HENRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
44405 WOODWARD AVE, PONTIAC, MI 48341-5023
(248) 858-3000
Mailing address
44 KENSINGTON BLVD, PLEASANT RIDGE, MI 48069-1218
(619) 987-8018
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
4704334966
MI
367500000X
Certified Registered Nurse Anesthetist
Primary
4704334966
MI
Other
Enumeration date
03/07/2023
Last updated
05/17/2023
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