IndividualActive
Ahmed Aly-Abdel-Latif, RN
NPI 1619549482 · Certified Registered Nurse Anesthetist · West Bloomfield, MI
Provider details
- NPI number
- 1619549482
- Entity type
- Individual
- Primary specialty
- Certified Registered Nurse AnesthetistPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- RN
- Sex
- Male
- Sole proprietor
- Yes
- License
- 4704293356 (MI)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Nursing Service Providers
Practice location
5146 Parkside Dr
West Bloomfield, MI 48323-2169
Phone: (313) 434-6667
Approximate (ZIP-level) locationGet directions
Mailing address
5146 Parkside Dr
West Bloomfield, MI 48323-2169
Registry dates
- Enumerated
- 2021-07-12
- Last updated
- 2024-12-24
- Certified
- 2024-12-24
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.