Provider Demographics
NPI:1225605520
Name:SLUIS, MICHAELA (CRNA)
Entity Type:Individual
Prefix:
First Name:MICHAELA
Middle Name:
Last Name:SLUIS
Suffix:
Gender:F
Credentials:CRNA
Other - Prefix:
Other - First Name:MICHAELA
Other - Middle Name:
Other - Last Name:STEINBACHER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:3437 COLONIAL DR
Mailing Address - Street 2:
Mailing Address - City:PINCKNEY
Mailing Address - State:MI
Mailing Address - Zip Code:48169-8611
Mailing Address - Country:US
Mailing Address - Phone:734-846-9800
Mailing Address - Fax:
Practice Address - Street 1:5301 E HURON RIVER DR
Practice Address - Street 2:
Practice Address - City:YPSILANTI
Practice Address - State:MI
Practice Address - Zip Code:48197-1051
Practice Address - Country:US
Practice Address - Phone:734-712-3840
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-06-07
Last Update Date:2021-06-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI4704311713367500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes367500000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Anesthetist, Certified Registered