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

Individual provider Certified Registered Nurse Anesthetist · NPI 1912093949

Jennifer Dyan Thayer, CRNA is a Certified Registered Nurse Anesthetist (CRNA) in Detroit, Michigan. Qualified in 2004, 22 years ago. Licensed in Michigan.

Years since qualifying
22
Licensed in
MI
In the registry since
2006
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

22101 Moross Rd
Detroit, MI 48236-2148
Phone: (313) 343-4766
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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 4704221361 (MI)

Record details

NPI number1912093949
Entity typeIndividual (Type 1)
GenderFemale
Credentials CRNA
Sole proprietorNo
NPI enumeratedOctober 5, 2006
Last updated in NPPESOctober 17, 2019

Medicare enrollment

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

Medicare specialtyCERTIFIED REGISTERED NURSE ANESTHETIST (CRNA)
Medical schoolOTHER
Graduated 2004 (22 years in practice)
Accepts Medicare assignment Not indicated
Practice locations10 on file with Medicare

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