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

Jamie Ettaher

Individual provider Certified Registered Nurse Anesthetist · NPI 1073911699

Jamie Ettaher is a Certified Registered Nurse Anesthetist (CRNA) in Wyandotte, Michigan. Qualified in 2014, 12 years ago. Practices with Henry Ford Wyandotte Hospital, a 194-clinician group and accepts Medicare assignment. Licensed in Michigan.

Years since qualifying
12
Licensed in
MI
In the registry since
2014
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Practice location Address checks out

2333 Biddle Ave
Wyandotte, MI 48192-4668
Phone: (734) 246-6000
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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 4704238989 (MI)

Record details

NPI number1073911699
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedDecember 13, 2014
Last updated in NPPESDecember 13, 2014
Mailing address2333 Biddle Ave, Wyandotte, MI 48192-4668

Medicare enrollment

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

Medicare specialtyCERTIFIED REGISTERED NURSE ANESTHETIST (CRNA)
Medical schoolOTHER
Graduated 2014 (12 years in practice)
Group practice Henry Ford Wyandotte Hospital — 194 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Wyandotte