MEDICARE: KATERINA DENKOVSKA CRNA

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	367500000X	Certified Registered Nurse Anesthetist	4704312584	MI

General Provider Information

NPI Number	:	1063083319
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	KATERINA DENKOVSKA CRNA

Provider Business Mailing Address
First Line	:	20513 GLORIA DR
Second Line	:
City	:	MACOMB
State	:	MI
Zip	:	48044-6347
Country	:	US
Telephone Number	:	586-719-9568
Fax Number	:

Provider Business Practice Location Address
First Line	:	43303 SCHOENHERR RD
Second Line	:
City	:	STERLING HEIGHTS
State	:	MI
Zip	:	48313-1959
Country	:	US
Telephone Number	:	586-739-8674
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/08/2021
Last Update Date	:	06/08/2026

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