Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Tara Lee Maclaren-Gibson, CRNA

Individual provider Certified Registered Nurse Anesthetist · NPI 1720171861

Tara Lee Maclaren-Gibson, CRNA is a Certified Registered Nurse Anesthetist (CRNA) in Pontiac, Michigan. Qualified in 2005, 21 years ago. Practices with West Michigan Aas LLC, a 40-clinician group and accepts Medicare assignment. Licensed in Michigan.

Years since qualifying
21
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

44405 Woodward Ave
Pontiac, MI 48341-5023
Phone: (248) 858-6593
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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 47054231671 (MI)

Record details

NPI number1720171861
Entity typeIndividual (Type 1)
GenderFemale
Credentials CRNA
Sole proprietorNo
NPI enumeratedOctober 2, 2006
Last updated in NPPESJune 24, 2010

Medicare enrollment

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

Medicare specialtyCERTIFIED REGISTERED NURSE ANESTHETIST (CRNA)
Medical schoolOTHER
Graduated 2005 (21 years in practice)
Group practice West Michigan Aas Llc — 40 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

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