Healthcare Provider Details

I. General information

NPI: 1275922999
Provider Name (Legal Business Name): ANGELA M. SAVASTANO CRNA
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: ANGELA M. YOUNG

II. Dates (important events)

Enumeration Date: 01/19/2015
Last Update Date: 08/25/2025
Certification Date: 08/25/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3601 W 13 MILE RD
ROYAL OAK MI
48073-6712
US

IV. Provider business mailing address

750 STEPHENSON HWY
TROY MI
48083-1103
US

V. Phone/Fax

Practice location:
  • Phone: 248-898-7784
  • Fax: 248-898-8181
Mailing address:
  • Phone: 248-577-4995
  • Fax: 248-577-3526

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code367500000X
TaxonomyCertified Registered Nurse Anesthetist
License Number4704276409
License Number StateMI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: