Individual
KARA MICHELE FOURMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
2120 W CENTRAL AVE, TOLEDO, OH 43606-3834
(419) 531-8558
(419) 697-7705
Mailing address
2120 W CENTRAL AVE, TOLEDO, OH 43606-3834
(419) 531-8558
(419) 697-7705
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
4704234896
MI
367500000X
Certified Registered Nurse Anesthetist
APRN.CRNA.12777
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
201293750
—
IN
01
—
P01512400
RR MEDICARE
IN
Enumeration date
02/21/2007
Last updated
06/06/2019
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