Individual
ANGELLA DAWN RULEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA, NP-C
Contact information
Practice address
6071 W OUTER DR, DETROIT, MI 48235-2624
(952) 442-9770
Mailing address
DEPT 203401, PO BOX 67000, DETROIT, MI 48267-0001
(952) 442-9770
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
4704187598
MI
367500000X
Certified Registered Nurse Anesthetist
Primary
4704187598
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
104718960
—
MI
01
—
AJ87598
BLUE CROSS OF MI
MI
Enumeration date
05/01/2006
Last updated
08/06/2021
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