Most Relevant Information
Provider Data
| NPI Number: | 1003343203 |
| Provider Name: | ANNE MARIE TALBOT CRNA |
| Entity Type: | Individual |
| Taxonomy Code: | 367500000X |
| Specialty: | Nurse Anesthetist, Certified Registered |
| License Number: | 4704294219 |
Most Important Dates
| Enumeration Date: | 05/18/2017 |
| Last Updated: | 11/03/2022 |
Provider Practice Location
200 JEFFERSON AVE SE
GRAND RAPIDS
MI
495034502
Practice Location Phone/Fax
| Phone: | 6166856063 |
| Fax: | 6166853092 |
Provider Mailing Location
4183 OLD HAWK CT
GRAND RAPIDS
MI
495253416
Provider Mailing Phone/Fax
| Phone: | 6165604897 |
| Fax: |