Connie J Armstrong, CRNA

Individual provider Active NPI Certified Registered Nurse Anesthetist · Newberry, MI

NPI 1154471720 · NPPES record last updated Jul 9, 2007

Key facts

NPI
1154471720
Entity type
Individual (NPI type 1)
Primary specialty
Certified Registered Nurse Anesthetist 367500000X
License
4704120737 (MI)
Practice address
502 W Harrie St
Newberry, MI 49868-1209
Phone
(906) 293-9131
Fax
(906) 293-9285
NPI assigned
Jan 12, 2007
Sex
Female
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
Yes
Credentials
Certified Registered Nurse

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse Anesthetist 367500000X 4704120737 MI Yes

Addresses

Primary practice location

502 W Harrie St
Newberry, MI 49868-1209

Mailing address

502 W Harrie St
Newberry, MI 49868-1209
Phone (906) 293-9131

Other identifiers

IdentifierTypeStateIssuer
4704120737OtherMISTATE LICENSE
4574725MedicaidMI

Other providers in Newberry, MI

All providers in Newberry, MI · Certified Registered Nurse Anesthetist in Michigan

Sources for this page

Verify at the official NPI Registry.