Christian, Willecia A

Christian, Willecia A is an individual health care provider with primary practice located at 38770 Garfield Rd Suite 100, Clinton Twp MI 48038-6620. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered. Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered is her primary health care specialty. Christian, Willecia A can be contacted via phone (586) 412-8355.

Contact Information

Primary practice address
38770 Garfield Rd Suite 100 Clinton Twp MI 48038-6620
Phone: (586) 412-8355
Fax: (586) 412-8608
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 4704215104 Michigan
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X 4704215104 Michigan

Profile Details

NPI number 1487697363
LBN Legal business name Christian, Willecia A
Credentials Certified Registered Nurse Anesthetist (CRNA)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 14th, 2006
Last updated Jun 1st, 2012 - about 12 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1487697363 NPPES
Michigan MEDICAID 4840779-10
Michigan Other 5008605950

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