Provider Demographics
NPI:1215035027
Name:PARUS, ELIZABETH THERESE (CRNA)
Entity Type:Individual
Prefix:MRS
First Name:ELIZABETH
Middle Name:THERESE
Last Name:PARUS
Suffix:
Gender:F
Credentials:CRNA
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Mailing Address - Street 1:15498 LUXEMBURG
Mailing Address - Street 2:
Mailing Address - City:FRASER
Mailing Address - State:MI
Mailing Address - Zip Code:48026-4700
Mailing Address - Country:US
Mailing Address - Phone:586-296-8035
Mailing Address - Fax:586-447-5012
Practice Address - Street 1:21000 E 12 MILE RD
Practice Address - Street 2:
Practice Address - City:SAINT CLAIR SHORES
Practice Address - State:MI
Practice Address - Zip Code:48081-1116
Practice Address - Country:US
Practice Address - Phone:586-447-5021
Practice Address - Fax:586-447-5012
Is Sole Proprietor?:No
Enumeration Date:2006-09-20
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MI4704159482367500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes367500000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Anesthetist, Certified Registered