Individual
RANEEN ISSA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2799 W GRAND BLVD STE 3A, DETROIT, MI 48202-2608
(313) 916-2600
Mailing address
1 FORD PL STE 3A, DETROIT, MI 48202-3450
(313) 874-4806
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
4704335388
MI
367500000X
Certified Registered Nurse Anesthetist
Primary
144080
MI
367500000X
Certified Registered Nurse Anesthetist
4704335388
MI
Other
Enumeration date
07/22/2022
Last updated
03/24/2025
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