Nicole Renee Tantipitham, CRNA | |
1500 E Medical Center Dr, 1h247 University Hospital, Ann Arbor, MI 48109-5048 | |
(734) 936-4280 | |
Not Available |
Full Name | Nicole Renee Tantipitham |
---|---|
Gender | Female |
Speciality | Anesthesiology - Critical Care Medicine |
Location | 1500 E Medical Center Dr, Ann Arbor, Michigan |
Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1417266339 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
367500000X | Nurse Anesthetist, Certified Registered | 4704253054 (Michigan) | Secondary |
207LC0200X | Anesthesiology - Critical Care Medicine | 4704253054 (Michigan) | Primary |
Mailing Address | Practice Location Address |
---|---|
Nicole Renee Tantipitham, CRNA 3621 S State St, 700 Kms Place, Ann Arbor, MI 48108 Ph: (734) 936-2047 | Nicole Renee Tantipitham, CRNA 1500 E Medical Center Dr, 1h247 University Hospital, Ann Arbor, MI 48109-5048 Ph: (734) 936-4280 |