| Carmen Marie Licata, CRNA | |
|
47601 Grand River Ave, Novi, MI 48374-1233 | |
| (248) 465-4210 | |
| Not Available |
| Full Name | Carmen Marie Licata |
|---|---|
| Gender | Female |
| Speciality | Nurse Anesthetist, Certified Registered |
| Location | 47601 Grand River Ave, Novi, Michigan |
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1427988765 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 367500000X | Nurse Anesthetist, Certified Registered | 4704362843 (Michigan) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Carmen Marie Licata, CRNA 653 Sweetbriar, Milford, MI 48381-1570 Ph: (248) 719-4360 | Carmen Marie Licata, CRNA 47601 Grand River Ave, Novi, MI 48374-1233 Ph: (248) 465-4210 |
Michael B Pfeifer, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 47601 Grand River Ave, Novi, MI 48374 Phone: 248-465-4100 | |
Mrs. Amanda Lynn Murray, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 47601 Grand River Ave, Novi, MI 48374 Phone: 248-830-2616 | |
Victoria Zolkewsky Nelson, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 39450 W 12 Mile Rd, Novi, MI 48377 Phone: 248-344-6688 | |
Ms. Jing Zhang, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 47601 Grand River Ave, Novi, MI 48374 Phone: 248-465-4210 | |
Kiersten Jean Cutler, Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 47601 Grand River Ave, Novi, MI 48374 Phone: 248-465-4100 | |
Christopher James Casinelli, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 47601 Grand River Ave, Novi, MI 48374 Phone: 248-465-4100 | |
Christine Desilva, Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 20755 Emily Ct, Novi, MI 48375 Phone: 248-760-0592 |