Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Carmen Marie Licata, CRNA

Individual provider Certified Registered Nurse Anesthetist · NPI 1427988765

Carmen Marie Licata, CRNA is a Certified Registered Nurse Anesthetist (CRNA) in Novi, Michigan. Graduated from Michigan State University College of Human Medicine in 2026. Licensed in Michigan.

Trained at
Michigan State University College of Human Medicine
Licensed in
MI
In the registry since
2026
What do these letters mean?
CRNA — Certified Registered Nurse Anesthetist
An advanced practice nurse who administers anaesthesia.

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Practice location Address checks out

47601 Grand River Ave
Novi, MI 48374-1233
Phone: (248) 465-4210
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Certified Registered Nurse Anesthetist (primary) Taxonomy 367500000X · Licence 4704362843 (MI)

Record details

NPI number1427988765
Entity typeIndividual (Type 1)
GenderFemale
Credentials CRNA
Sole proprietorNo
NPI enumeratedMay 20, 2026
Last updated in NPPESJune 29, 2026
Certification dateJune 29, 2026

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCERTIFIED REGISTERED NURSE ANESTHETIST (CRNA)
Medical schoolMICHIGAN STATE UNIVERSITY COLLEGE OF HUMAN MEDICINE
Graduated 2026 (0 years in practice)
Accepts Medicare assignment Not indicated
Practice locations2 on file with Medicare

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