Individual
ANGELA RANSOM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CNP RN
Contact information
Practice address
14555 LEVAN RD STE 116, ST. MARY'S MERCY - LIVONIA, LIVONIA, MI 48154-5085
(877) 486-7978
(313) 993-0303
Mailing address
1420 STEPHENSON HWY, SUITE 400-CREDENTIALING, TROY, MI 48083-1189
(248) 581-5971
(248) 581-5640
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
4704259033
MI
363LA2100X
Acute Care Nurse Practitioner
4704259033
MI
Other
Enumeration date
02/13/2009
Last updated
11/07/2013
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