Healthcare Provider Details

I. General information

NPI: 1225407901
Provider Name (Legal Business Name): KELLY HOPE ARROWSMITH CRNA
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/23/2015
Last Update Date: 07/24/2026
Certification Date: 07/24/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2215 FULLER RD
ANN ARBOR MI
48105-2303
US

IV. Provider business mailing address

42085 BANBURY RD
NORTHVILLE MI
48168-2361
US

V. Phone/Fax

Practice location:
  • Phone: 734-845-5342
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code367500000X
TaxonomyCertified Registered Nurse Anesthetist
License Number4704221562
License Number StateMI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: