Brenni Brown-polanski, CRNA | |
36475 5 Mile Rd, Livonia, MI 48154-1971 | |
(734) 655-2022 | |
Not Available |
Full Name | Brenni Brown-polanski |
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Gender | Female |
Speciality | Nurse Anesthetist, Certified Registered |
Location | 36475 5 Mile Rd, Livonia, Michigan |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1609806967 | NPI | - | NPPES |
104547521 | Medicaid | MI |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
367500000X | Nurse Anesthetist, Certified Registered | 4704113253 (Michigan) | Primary |
Entity Name | St Mary Mercy Hospital Crna |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1063602092 PECOS PAC ID: 8820163538 Enrollment ID: O20080814000520 |
Entity Name | Apollo Medical Group Of Traverse City Pllc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1467093153 PECOS PAC ID: 8123452331 Enrollment ID: O20191221000053 |
Entity Name | Apollo Medical Group Of Northern Michigan Pllc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1821722984 PECOS PAC ID: 4981087301 Enrollment ID: O20220818000717 |
Mailing Address | Practice Location Address |
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Brenni Brown-polanski, CRNA 22524 Devron Ct, Novi, MI 48374-3779 Ph: () - | Brenni Brown-polanski, CRNA 36475 5 Mile Rd, Livonia, MI 48154-1971 Ph: (734) 655-2022 |
Ashley Staubin, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 36475 Five Mile Rd, Livonia, MI 48154 Phone: 734-655-4800 | |
Avis J Dorsey, Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 12031 Cardwell St, Livonia, MI 48150 Phone: 248-982-7385 | |
Misty Tyburski, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 36475 Five Mile Rd, Livonia, MI 48154 Phone: 734-655-4800 | |
Sheri Sparkman, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 36475 5 Mile Rd, Livonia, MI 48154 Phone: 734-655-2022 | |
Sarah Krater, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 36475 Five Mile Rd, Livonia, MI 48154 Phone: 734-655-4800 | |
Andrea Kline Ozimek, CRNA, MS Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 36475 Five Mile Rd, Livonia, MI 48154 Phone: 734-655-2031 | |
Kathleen Collins, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 36475 5 Mile Rd, Livonia, MI 48154 Phone: 734-655-2022 |