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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MRS. TIA DOMINIQUE AGBORUCHE

Active

MRS. TIA DOMINIQUE AGBORUCHE is a Certified Nurse Anesthetist (CRNA) healthcare provider located in DETROIT, Michigan. NPI 1013687029 is currently active in the NPPES registry. Verify at CMS.

Certified Nurse Anesthetist (CRNA) · DETROIT, MI

Registration Details

NPI Number
1013687029
Provider Type
Individual
Gender
Female
NPI Issued
Sep 20, 2021 (4.9331715070475 yrs)
Last Updated
Oct 7, 2024
Licenses
4704311021 (MI)
APRN.CRNA.0021121 (OH)
4704311021 (MI)

Practice Information

Address
20418 BINDER ST
DETROIT, MI, 482341913
Browse MI providers · Browse ZIP 48234
Phone
3133334038
Primary Specialty
Certified Nurse Anesthetist (CRNA)
367500000X

Other Certified Nurse Anesthetist (CRNA) Providers in DETROIT, MI

Name Credential NPI
MARK CAMPBELL CRNA 1538151238
LUCIA E SCARPACE MEEHAN CRNA 1740272442
CLAUDINE HOPPEN CRNA 1811989510
BRIAN EELLS CRNA 1962495630
JOHN MCKAY PERKOWSKI CRNA 1760477871
ELIZABETH ANNE RANELLA CRNA 1003801127
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.