Healthcare Provider Details

I. General information

NPI: 1285605535
Provider Name (Legal Business Name): MONICA WAZIRI CRNA
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: MONICA CRANE CRNA

II. Dates (important events)

Enumeration Date: 01/26/2006
Last Update Date: 06/05/2025
Certification Date: 06/05/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5255 LOUGHBORO RD NW
WASHINGTON DC
20016-2633
US

IV. Provider business mailing address

255 W MICHIGAN AVE
JACKSON MI
49201-2218
US

V. Phone/Fax

Practice location:
  • Phone: 202-243-2280
  • Fax:
Mailing address:
  • Phone: 517-787-6440
  • Fax: 517-787-4146

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code367500000X
TaxonomyCertified Registered Nurse Anesthetist
License Number186000
License Number StateCO
# 2
Primary TaxonomyY
Taxonomy Code367500000X
TaxonomyCertified Registered Nurse Anesthetist
License NumberCRNA1029462
License Number StateDC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: