| 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 |