Pattiann Vantreese, CRNA

Individual provider Active NPI Certified Registered Nurse Anesthetist · East China, MI

NPI 1366471609 · NPPES record last updated Sep 21, 2021

Key facts

NPI
1366471609
Entity type
Individual (NPI type 1)
Primary specialty
Certified Registered Nurse Anesthetist 367500000X
License
4704143719 (MI)
Practice address
4100 S River Rd
East China, MI 48054-2909
Phone
(810) 326-2024
NPI assigned
Jun 30, 2006
Sex
Female
Sole proprietor
No

Organizations & group practices 10

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

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

Practice roles

OrganizationSpecialtyStatusNew patients
Northwestern Services, LLC Nurse Anesthetist, Certified Registered Current
since Mar 3, 2018
Accepting new patients
Surgical Centers of Michigan, LLC. Current Accepting new patients
Macomb Endoscopy Center PLC Current Accepting new patients
Northwestern Services, LLC Current
since Mar 3, 2018
Accepting new patients
Asa Staffing Inc Nurse Anesthetist, Certified Registered Current
since Apr 1, 2018
Accepting new patients
Surgical Centers of Michigan, LLC Current
since Apr 17, 2017
Accepting new patients
Prime Healthcare Services-Port Huron LLC Current
since Sep 1, 2015
Accepting new patients
Macomb Endoscopy Center, PLC Current
since Apr 17, 2017
Accepting new patients
Prime Healthcare Services-Port Huron LLC Current
since Sep 1, 2015
Accepting new patients
Northstar Anesthesia of Michigan II PC Nurse Anesthetist, Certified Registered Current
since Aug 1, 2009
Accepting new patients

Locations

1900 Columbus Ave
Bay City, MI 48708
Phone (989) 894-3000

30055 Northwestern Hwy
Ste L-60
Farmington Hills, MI 48334
Phone (248) 265-6555

4190 24th Ave
Fort Gratiot, MI 48059
Phone (810) 216-4300

3400 E Jolly Rd
Lansing, MI 48910
Phone (517) 272-1063

1707 Lake Lansing Rd
Lansing, MI 48912
Phone (517) 267-0033

48801 Romeo Plank Rd
Ste 101
Macomb, MI 48044
Phone (586) 726-8423

26750 Providence Pkwy
Ste 100
Novi, MI 48374
Phone (248) 662-1500

1221 Pine Grove Ave
Port Huron, MI 48060
Phone (810) 989-3300

2601 Electric Ave
Port Huron, MI 48060
Phone (810) 216-1500

2601 Electric Ave
#C
Port Huron, MI 48060
Phone (810) 216-1500

4600 Investment Dr
Ste 270
Troy, MI 48098
Phone (248) 267-6222

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse Anesthetist 367500000X 4704143719 MI Yes

Addresses

Primary practice location

4100 S River Rd
East China, MI 48054-2909

Mailing address

4100 S River Rd
East China, MI 48054-2909
Phone (810) 326-2024

Other identifiers

IdentifierTypeStateIssuer
4338479MedicaidMI

Other providers in East China, MI

All providers in East China, MI · Certified Registered Nurse Anesthetist in Michigan

Sources for this page

Verify at the official NPI Registry.