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NPI Code Detail

MEDICARE: MAUREEN E PRAIS CRNA

MEDICARE:   MAUREEN E PRAIS  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
1367500000XCertified Registered Nurse Anesthetist4704102142MI

General Provider Information

NPI Number : 1497792717
Entity Type Code : Individual
Provider Name (Legal Business Name) : MAUREEN E PRAIS CRNA
Provider Business Mailing Address
First Line : 1221 PINE GROVE AVE
Second Line :
City : PORT HURON
State : MI
Zip : 48060-3511
Country : US
Telephone Number : 810-987-5000
Fax Number : 810-985-2633
Provider Business Practice Location Address
First Line : 1221 PINE GROVE AVE
Second Line :
City : PORT HURON
State : MI
Zip : 48060-3511
Country : US
Telephone Number : 810-987-5000
Fax Number : 810-985-2633
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/02/2006
Last Update Date : 04/19/2026

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Practice Location Address:
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Directions to “ MAUREEN E PRAIS CRNA” Practice Location

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