Mrs. Tia Dominique Agboruche is a Detroit, Michigan based nurse anesthetist with 4 years of experience as Nurse Anesthetist. She completed she graduation in 2021. She may accept the Medicare-approved amount. Patients may be billed for more than the Medicare deductible and coinsurance. Active license number of Mrs. Tia Dominique Agboruche is 4704311021 for Anesthesia Administration in Michigan. Her current practice location is 20418 Binder St, Detroit. Patients can reach her at 313-333-4038. Mrs. Tia Dominique Agboruche with specialization in Nurse Anesthetist and she NPI number (Unique professional ID assigned by NPPES) is 1013687029. Mrs. Tia Dominique Agboruche 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:
Mrs. Tia Dominique Agboruche 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:
Nurse Anesthetist
Experience:
4+ years
Medical School Attended:
Other
Graduation Year:
2021
Gender:
Female
Accepts Medicare Assignment:
May Accept
Practice Address:
20418 Binder St, Detroit, Michigan, 48234-1913
Phone:
313-333-4038
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.
PAC ID:
5799170007
Enrollment ID:
I20220324000403
NPI Number:
1013687029
NPI Enumeration Date:
20 Sep, 2021
NPI Last Update On:
07 Oct, 2024
Medical Licenses:
Nurses can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Mrs. Tia Dominique Agboruche are as mentioned below.
License Number
Specialization
State
Status
4704311021
Anesthesia Administration
Michigan
Primary
4704311021
Registered Nurse
Michigan
Secondary
APRN.CRNA.0021121
Anesthesia Administration
Ohio
Secondary
Hospital Affiliation:
Surgeons are affiliated to many hospitals whom they worked with in the past or are presently working with. One surgeon can be affiliated to four to five hospitals at a time.
Hospital Name (CCN)
State
Hospital Type
Beaumont Hospital Royal Oak (230130)
Royal oak, MI
Acute Care Hospital
Group Practice:
Group practices are run by a group of physicians who share their premises and other resources. Following list states all the group name
with which Mrs. Tia Dominique Agboruche has association with along with the number of members in that group.
Organization Name (Group PAC ID)
Members
Northstar Anesthesia Of Michigan Iii Pllc (7911325469)
505
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
20418 Binder St, Detroit, Michigan
Zip:
48234-1913
Phone Number:
313-333-4038
Fax Number:
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Patients can reach Mrs. Tia Dominique Agboruche at 20418 Binder St, Detroit, Michigan or can call to book an appointment on 313-333-4038.
Comments/ Reviews:
Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 10 March, 2025.