Marissa Beth Roslyn-Clark in Grand Rapids - Family
Marissa Beth Roslyn-Clark - NPI 1679734941
Marissa Beth Roslyn-Clark is a Family in Grand Rapids, Michigan. Marissa Beth Roslyn-Clark practices all healthcare services and medical treatments related to Family. The NPI Number for Marissa Beth Roslyn-Clark is 1679734941. The last update date is 2023-06-23.
Marissa Beth Roslyn-Clark's current location address is 4069 Lake Dr Se Ste 118, Grand Rapids, Michigan. You can contact this provider via phone number 6162678520. The mailing address for Marissa Beth Roslyn-Clark is 4069 Lake Dr Se Ste 118, Grand Rapids, Michigan. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Marissa Beth Roslyn-Clark |
|---|---|
| Address | 4069 Lake Dr Se Ste 118, Grand Rapids, Michigan |
| Phone Number | 6162678520 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | NP |
NPI Number Detail
| NPI Number | 1679734941 |
|---|---|
| Provider Enumeration Date | 2008-06-19 |
| Last Updated Date | 2023-06-23 |
Provider Mailing Address Detail
| Address | 4069 Lake Dr Se Ste 118 |
|---|---|
| City | Grand Rapids |
| State | Michigan (MI) |
| Post Code | 495468816 |
| Phone Number | 6162678520 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Family |
|---|---|
| Taxonomy | 363Lf0000X |
| Licence No | 4704346505 |
|
Definition: An advanced practice registered nurse expert in primary healthcare for patients of all ages. |
|
Post Comment/ Review Below
What is the unique 10-digit identification code issued to Marissa Beth Roslyn-Clark by the Centers for Medicare & Medicaid Services?
The Marissa Beth Roslyn-Clark has been assigned the NPI (National Provider Identifier) 1679734941 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Could you share the physical location details of Marissa Beth Roslyn-Clark?
The Marissa Beth Roslyn-Clark is situated at 4069 Lake Dr Se Ste 118, in the city of Grand Rapids, state of MI, with the zip code 495468816.
What is Marissa Beth Roslyn-Clark's area of expertise and its corresponding taxonomy classification?
The Marissa Beth Roslyn-Clark's field of specialization is Family, and it falls under the taxonomy code 363Lf0000X, which categorizes healthcare providers based on their areas of practice.
On what date did the Centers for Medicare & Medicaid Services issue the 1679734941 to Marissa Beth Roslyn-Clark?
The Marissa Beth Roslyn-Clark received its 1679734941 assignment from the Centers for Medicare & Medicaid Services on 2008-06-19.
As of what date were the Marissa Beth Roslyn-Clark's details last updated?
The information pertaining to the Marissa Beth Roslyn-Clark, including its address, specialty, and other details, was most recently updated on 2023-06-23.
NPI Number: 1699778829
Address: 1200 Oakleaf Way, Altoona, WI
NPI Number: 1154324168
Address: 175 S Union Blvd, Colorado Springs, CO