Individual
ELIZABETH ANNE RANELLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
4201 SAINT ANTOINE ST, DETROIT, MI 48201-2153
(952) 442-9770
(952) 442-3630
Mailing address
PO BOX 67000, DEPT 203401, DETROIT, MI 48267-0002
(952) 442-9770
(952) 442-3630
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
4704115069
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
104335833
—
MI
01
—
ER115069
BLUE CROSS OF MI
MI
Enumeration date
09/14/2005
Last updated
07/10/2014
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