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Mary K Henricksen, CRNA
Certified Registered Nurse Anesthetist in Marquette, Michigan
NPI 1821070392

Mary K Henricksen is a Certified Registered Nurse Anesthetist based in Au Train, MI. Mary K Henricksen practices in Marquette, MI and has the professional credentials of CRNA. The NPI Number for Mary K Henricksen is 1821070392 and holds a License No. 4704081708 (Michigan).

The current practice location address for Mary K Henricksen is 580 W College Ave, Marquette, MI and can be reached out via phone at 906-225-3406 and via fax at 906-225-3094.

Location: 580 W College Ave, Marquette, MI, 49806-9512
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1821070392
Provider Name
Mary K Henricksen
Credential
CRNA
Provider Entity Type
Individual
Gender
Female
Address
580 W College Ave, Marquette, MI, 49806-9512
Phone Number
906-225-3406
Fax Number
906-225-3094
Provider Enumeration Date
11/18/2005
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
104135850 05 MI
43288000 01 WI WI MEDICAID PIN
430051912 01 MI 430051912
MH081708 01 MI BLUESHIELD PIN
institution
Provider Business Practice Location Address Details
Address
580 W College Ave
City
Marquette
State
Michigan
Zip
49855-2705
Phone Number
906-225-3406
Fax Number
906-225-3094
person
Provider Business Mailing Address Details
Address
580 W College Ave
City
Marquette
State
Michigan
Zip
49855-2705
Phone Number
906-225-3406
Fax Number
906-225-3094
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Anesthetist, Certified Registered
Speciality
-
Taxonomy
367500000X
License No.
4704081708 (Michigan)
Definition
(1) A licensed registered nurse with advanced specialty education in anesthesia who, in collaboration with appropriate health care professionals, provides preoperative, intraoperative, and postoperative care to patients and assists in management and resuscitation of critical patients in intensive care, coronary care, and emergency situations. Nurse anesthetists are certified following successful completion of credentials and state licensure review and a national examination directed by the Council on Certification of Nurse Anesthetists. (2) A registered nurse who is qualified by special training to administer anesthesia in collaboration with a physician or dentist and who can assist in the care of patients who are in critical condition.
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