Provider Demographics
NPI:1891890521
Name:NAGY-O'CONNOR, FRANCES M (CRNA)
Entity Type:Individual
Prefix:
First Name:FRANCES
Middle Name:M
Last Name:NAGY-O'CONNOR
Suffix:
Gender:F
Credentials:CRNA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 660857
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75266-0857
Mailing Address - Country:US
Mailing Address - Phone:972-715-5000
Mailing Address - Fax:
Practice Address - Street 1:1900 COLUMBUS AVE
Practice Address - Street 2:
Practice Address - City:BAY CITY
Practice Address - State:MI
Practice Address - Zip Code:48708-6831
Practice Address - Country:US
Practice Address - Phone:989-894-3795
Practice Address - Fax:989-891-8172
Is Sole Proprietor?:No
Enumeration Date:2006-09-14
Last Update Date:2011-07-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI4704122991367500000X
NC036253367500000X
NC234550163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes367500000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Anesthetist, Certified Registered
No163W00000XNursing Service ProvidersRegistered Nurse
Provider Identifiers
StateIdentifier IDID TypeIssuer
MI1600204Medicaid
NCP00794668OtherRAILROAD MEDICARE
NC8053705Medicaid
NC8053705Medicaid
NCP00794668OtherRAILROAD MEDICARE
MI430045020Medicare ID - Type UnspecifiedRAILROAD MEDICARE