KASSAYE WAGAW CRNA
NPI 1184737165
Nurse Anesthetist, Certified Registered in Wyandotte, MI

Q: What is Kassaye Wagaw's NPI number?

The NPI number for Kassaye Wagaw is 1184737165. It was assigned to this individual provider in the NPPES registry on August 16, 2006.

Q: What is Kassaye Wagaw's specialty?

The primary specialty registered for this NPI is Nurse Anesthetist, Certified Registered with taxonomy code 367500000X.

Q: When was this NPI record last updated?

The NPPES record for Kassaye Wagaw was last updated on July 8, 2007. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since August 16, 2006

2333 BIDDLE ST, WYANDOTTE, MI 48192(734) 324-3697(734) 324-3425 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: July 19, 2026.

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About Kassaye Wagaw Crna NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KASSAYE WAGAW CRNA (NPI 1184737165) is an individual nurse anesthetist, certified registered in Wyandotte, Michigan, licensed in Michigan (4704137989) and active in the NPI registry since August 2006.

NPPES Registry Identity

NPI1184737165

Entity TypeIndividualFemale

Primary Taxonomy367500000X

Provider Legal NameKASSAYE WAGAWCredential: CRNA

Location Address2333 BIDDLE STWyandotte, MI 48192-4668

Mailing Address2333 Biddle StWyandotte, MI 48192-4668 · (734) 324-3697 · Fax (734) 324-3425

Phone(734) 324-3697

Fax(734) 324-3425

Sole ProprietorNo

Enumeration DateAugust 16, 2006

Last NPPES UpdateJuly 8, 2007

✔ NPI 1184737165 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Anesthetist, Certified RegisteredPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code367500000X

License✔ Licensed in MI · 4704137989

Definition

(1) A licensed 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. (2) A registered nurse who is qualified by special training to administer anesthesia in collaboration with a physician or dentist and who can assist in the care of patients who are in critical condition.

2333 BIDDLE ST, Wyandotte, MI 48192

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