Provider Demographics
NPI:1548408966
Name:HASSAN, RANIA (NP)
Entity Type:Individual
Prefix:
First Name:RANIA
Middle Name:
Last Name:HASSAN
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
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Mailing Address - Street 1:17187 SCHAEFER HWY
Mailing Address - Street 2:SUITE 600
Mailing Address - City:DETROIT
Mailing Address - State:MI
Mailing Address - Zip Code:48235-4132
Mailing Address - Country:US
Mailing Address - Phone:313-367-2767
Mailing Address - Fax:313-367-2818
Practice Address - Street 1:4160 JOHN R ST
Practice Address - Street 2:SUITE 917
Practice Address - City:DETROIT
Practice Address - State:MI
Practice Address - Zip Code:48201-2020
Practice Address - Country:US
Practice Address - Phone:313-745-4525
Practice Address - Fax:313-745-0011
Is Sole Proprietor?:No
Enumeration Date:2009-01-22
Last Update Date:2016-04-13
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
MI4704232361363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner