Lustre Nosal, Michelle

Lustre Nosal, Michelle is an individual health care provider with primary practice located at 1447 N Harrison St , Saginaw MI 48602-4727. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered, which is considered as her primary health care specialty. Lustre Nosal, Michelle can be contacted via phone (989) 583-6237.

Contact Information

Primary practice address
1447 N Harrison St Saginaw MI 48602-4727
Phone: (989) 583-6237
Fax: (989) 583-6032
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X 4704149936 Michigan

Profile Details

NPI number 1083693113
LBN Legal business name Lustre Nosal, Michelle
Credentials Certified Registered Nurse Anesthetist (CRNA)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 17th, 2006
Last updated Jun 10th, 2014 - about 10 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 1083693113 NPPES
Michigan Other ML149936 BLUE CROSS OF MI
Michigan MEDICAID 104299871 BLUE CROSS OF MI

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