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

Mrs. Nicole Antonia Moreno, CRNA

Individual provider Certified Registered Nurse Anesthetist · NPI 1316471535

Mrs. Nicole Antonia Moreno, CRNA is a Certified Registered Nurse Anesthetist in Jackson, Michigan. Practices as a sole proprietor and works from 2 locations. Licensed in Michigan.

Licensed in
MI
In the registry since
2017
What do these letters mean?
CRNA — Certified Registered Nurse Anesthetist
An advanced practice nurse who administers anaesthesia.

See every abbreviation used in this directory →

Practice location Address checks out

205 N East Avenue Anesthesia Dept
Jackson, MI 49201
Phone: (517) 205-4963
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 405 W Greenlawn Ave, Lansing, MI 48910-2898 — (517) 482-2118

Specialties & licences

Certified Registered Nurse Anesthetist (primary) Taxonomy 367500000X · Licence 4704289793 (MI)

Record details

NPI number1316471535
Entity typeIndividual (Type 1)
GenderFemale
Credentials CRNA
Sole proprietorYes
NPI enumeratedApril 13, 2017
Last updated in NPPESJuly 12, 2026
Certification dateMarch 30, 2021

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