IndividualActive
Alicia Deroso, CRNA
NPI 1558739367 · Certified Registered Nurse Anesthetist · Lansing, MI
Provider details
- NPI number
- 1558739367
- Entity type
- Individual
- Primary specialty
- Certified Registered Nurse AnesthetistPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- CRNA
- Sex
- Female
- Sole proprietor
- No
- License
- 4704265519 (MI)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Practice location
1215 E Michigan Ave
Lansing, MI 48912-1811
Phone: (517) 253-3050
Fax: (517) 364-3943
Approximate (ZIP-level) locationGet directions
Mailing address
3470 S Shore Dr
Lapeer, MI 48446-9755
Registry dates
- Enumerated
- 2015-09-10
- Last updated
- 2016-08-02
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.