Most Relevant Information
Provider Data
| NPI Number: | 1003801127 |
| Provider Name: | ELIZABETH ANNE RANELLA CRNA |
| Entity Type: | Individual |
| Taxonomy Code: | 367500000X |
| Specialty: | Nurse Anesthetist, Certified Registered |
| License Number: | 4704115069 |
Most Important Dates
| Enumeration Date: | 09/14/2005 |
| Last Updated: | 07/10/2014 |
Provider Practice Location
4201 SAINT ANTOINE ST
DETROIT
MI
482012153
Practice Location Phone/Fax
| Phone: | 9524429770 |
| Fax: | 9524423630 |
Provider Mailing Location
PO BOX 67000
DEPT 203401
DETROIT
MI
482670002
Provider Mailing Phone/Fax
| Phone: | 9524429770 |
| Fax: | 9524423630 |