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NPI Code Detail

MEDICARE: RANIA AJAMI MSN, RN, CPNP-PC

MEDICARE:   RANIA  AJAMI  MSN, RN, CPNP-PC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363L00000XNurse Practitioner4704272313MI
2363LP0200XPediatric Nurse Practitioner4704272313MI

General Provider Information

NPI Number : 1710496682
Entity Type Code : Individual
Provider Name (Legal Business Name) : RANIA AJAMI MSN, RN, CPNP-PC
Provider Business Mailing Address
First Line : 33475 PALMER RD
Second Line :
City : WESTLAND
State : MI
Zip : 48186-4614
Country : US
Telephone Number : 734-728-2423
Fax Number :
Provider Business Practice Location Address
First Line : 33475 PALMER RD
Second Line :
City : WESTLAND
State : MI
Zip : 48186-4614
Country : US
Telephone Number : 734-728-2423
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/23/2017
Last Update Date : 07/28/2024

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