Doctor Name: | LENORE RANIERI |
NPI Number: | 1447232269 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | RN MSN NP C |
License Number: | 4704195166 |
Business Practice Address: | 28963 Little Mack Ave Ste 101 Gi Medicine Associates Pc St Clair Shores, MI - 480813015 |
Business Phone Number: | 5864470700 |
Business Fax Number: | |
Mailing Address: | 130 Town Center Dr, Ste 203 TROY |
State: | MI |
Postal Code: | 480841744 |
Phone Number: | 2485858265 |
Fax Number: | 2485858266 |
NPI Enumeration Date: | 11/17/2005 |
NPI Last Update Date: | 04/13/2016 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LA2200X |
License Number: | 4704195166 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MI |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Adult Health |
Taxonomy Definition: |