Ruley, Angella Dawn

Ruley, Angella Dawn is an individual health care provider with primary practice located at 6071 W Outer Dr , Detroit MI 48235-2624. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Adult Health, Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered. Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered is her primary health care specialty. Ruley, Angella Dawn can be contacted via phone (952) 442-9770.

Contact Information

Primary practice address
6071 W Outer Dr Detroit MI 48235-2624
Phone: (952) 442-9770
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Adult Health 363LA2200X 4704187598 Michigan
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X 4704187598 Michigan

Profile Details

NPI number 1851359921
LBN Legal business name Ruley, Angella Dawn
Credentials CRNA, NP-C
Entity Individual
Sole proprietor 1 No
Enumeration date May 1st, 2006
Last updated Aug 6th, 2021 - about 5 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1851359921 NPPES
Michigan MEDICAID 104718960
Michigan Other AJ87598

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