Mary K Henricksen is a Marquette, Michigan based nurse anesthetist who is specialized as Anesthesia Administration nurse. Active license number of Mary K Henricksen is 4704081708 for Anesthesia Administration in Michigan. Her current practice location is 580 W College Ave, Marquette. Patients can reach her at 906-225-3406 or can fax her at 906-225-3094. Mary K Henricksen is CRNA with specialization in Anesthesia Administration and she NPI number (Unique professional ID assigned by NPPES) is 1821070392. Mary K Henricksen is a certified registered nurse with advanced specialty education in anesthesia who, in collaboration with appropriate health care professionals, provides preoperative, intraoperative, and postoperative care to patients and assists in management and resuscitation of critical patients in intensive care, coronary care, and emergency situations. Nurse anesthetists are certified following successful completion of credentials and state licensure review and a national examination directed by the Council on Certification of Nurse Anesthetists.
Complete Profile:
Mary K Henricksen speciality, credentials, practice address, contact phone number and fax are as below.
Patients can directly walk in or can call on the below given phone number for appointment.
Specialization:
Anesthesia Administration
Credentials:
CRNA
Gender:
Female
Practice Address:
580 W College Ave, Marquette, Michigan, 49855-2705
Phone:
906-225-3406
Fax:
906-225-3094
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
NPI Number:
1821070392
NPI Enumeration Date:
18 Nov, 2005
NPI Last Update On:
22 Apr, 2008
Medical Licenses:
Nurses can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Mary K Henricksen are as mentioned below.
License Number
Specialization
State
Status
4704081708
Anesthesia Administration
Michigan
Primary
Other Medical Identifiers:
Other legacy medical identifiers associated with Mary K Henricksen such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
Identifier
Type
State
Issuer
104135850
Medicaid
Michigan
43288000
Other
Wisconsin
WI MEDICAID PIN
430051912
Other
Michigan
430051912
MH081708
Other
Michigan
BLUESHIELD PIN
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
E3110 E Deer Lake Rd, Au Train, Michigan
Zip:
49806-9512
Phone Number:
906-892-8530
Fax Number:
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Patients can reach Mary K Henricksen at 580 W College Ave, Marquette, Michigan or can call to book an appointment on 906-225-3406.
Comments/ Reviews:
Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 14 April, 2025.