| Mara Trudgen, CRNA, DNP | |
|
1 Genesys Pkwy, Grand Blanc, MI 48439-8065 | |
| (810) 606-5000 | |
| Not Available |
| Full Name | Mara Trudgen |
|---|---|
| Gender | Female |
| Speciality | Nurse Anesthetist, Certified Registered |
| Location | 1 Genesys Pkwy, Grand Blanc, Michigan |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1134790116 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 163W00000X | Registered Nurse | 4704299352 (Michigan) | Secondary |
| 367500000X | Nurse Anesthetist, Certified Registered | 4704299352 (Michigan) | Primary |
| Entity Name | Ascension Genesys Hospital |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1558517367 PECOS PAC ID: 2062323033 Enrollment ID: O20081029000720 |
| Mailing Address | Practice Location Address |
|---|---|
| Mara Trudgen, CRNA, DNP 4784 Clyde Rd, Howell, MI 48855-6749 Ph: (517) 812-6139 | Mara Trudgen, CRNA, DNP 1 Genesys Pkwy, Grand Blanc, MI 48439-8065 Ph: (810) 606-5000 |
Robert Myron Fedorow, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1 Genesys Pkwy, Grand Blanc, MI 48439 Phone: 586-524-0854 | |
William Schultz, Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1 Genesys Pkwy, Anesthesia Office, Grand Blanc, MI 48439 Phone: 810-606-6499 | |
Lulu A Robbins, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1 Genesys Pkwy, Grand Blanc, MI 48439 Phone: 810-606-6499 Fax: 810-606-7245 | |
Jill Ellen Day, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1 Genesys Pkwy, Grand Blanc, MI 48439 Phone: 810-606-6499 Fax: 810-606-7245 | |
Sarah Angela Baker, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 1 Genesys Pkwy, Grand Blanc, MI 48439 Phone: 810-606-6499 | |
Kimberly Carpenter, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 2432 Genesys Pkwy, Grand Blanc, MI 48439 Phone: 810-606-6499 | |
Jodi M Delaney, CRNA Nurse Anesthetist - CR Medicare: May Accept Medicare Assignments Practice Location: 1 Genesys Pkwy, Grand Blanc, MI 48439 Phone: 810-606-6499 |