IndividualActive
Alicia Moore, CRNA
NPI 1144599523 · Certified Registered Nurse Anesthetist · Fraser, MI
Provider details
- NPI number
- 1144599523
- Entity type
- Individual
- Primary specialty
- Certified Registered Nurse AnesthetistPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- CRNA
- Sex
- Female
- Sole proprietor
- Yes
- License
- 4704210341 (MI)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Nursing Service Providers
Practice location
16152 Windham
Fraser, MI 48026-2042
Phone: (586) 242-9562
Approximate (ZIP-level) locationGet directions
Mailing address
16152 Windham
Fraser, MI 48026-2042
Registry dates
- Enumerated
- 2011-12-14
- Last updated
- 2023-09-21
- Certified
- 2023-09-21
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.