Physician Compare National (NPI:1598790628)

HEALTHCARE PROVIDER: CYNTHIA NADEAU CRNA

Physician Compare National contains general information about individual eligible professionals (EPs) such as demographic information and Medicare quality program participation.

Individual Professional Information
NPI	1598790628
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	3971679580
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20080905000256
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	NADEAU
	Individual professional last name
Provider First Name	CYNTHIA
	Individual professional first name
Provider Gender	F
	The provider's gender if the provider is a person.

Medical School Information
Medical School Name	WAYNE STATE UNIVERSITY SCHOOL OF MEDICINE
	Individual professional's medical school
Graduation Year	1980
	Individual professional's medical school graduation year
Primary Specialty	CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA)
	Primary medical specialty reported by the individual professional in the selected enrollment

Practice Information
Organization Legal Name	ST MARY MERCY HOSPITAL CRNA
	Legal name of the Group Practice that the individual professional works with- will be blank if the address is not linked to a Group Practice
Group Practice PAC ID	8820163538
	Unique Group Practice ID assigned by PECOS to the Group Practice that the individual professional works with- will be blank if the address is not linked to a Group Practice
Number of Group Practice members	34
	Total number of individual professionals affiliated with the Group Practice based on Group Practice PAC ID
Line 1 Street Address	36475 5 MILE RD
	Group Practice or individual's line 1 address
City	LIVONIA
	Group Practice or individual's city
State	MI
	Group Practice or individual's state
Zip Code	481541971
	Group Practice or individual's zip code (9 digits when available)
Phone Number	7346552909
	Phone number is listed only when there is a single phone number available for the practice location address

Hospital(s) Affiliation Information
Hospital Affiliation CCN 1	230002
	Medicare CCN of hospital where individual professional provides service 1
Hospital Affiliation LBN 1	ST MARY MERCY HOSPITAL
	Legal business name of hospital where individual professional provides service 1
Professional Accepts Medicare Assignment	Y