Individual provider · Type 1 NPI

Grace Leyson Rosete-Lasala

Nurse Practitioner · Dearborn Heights, MI

NPI number 1184734980 Active

Practice location

26001 Ford Rd
Dearborn Heights, MI 48127

Call (313) 274-4600 Map

Fax (313) 274-4079

Mailing address

9938 Allen Point Dr
Allen Park, MI 48101

Specialties and licenses

TaxonomyCodeLicense
Nurse Practitioner Primary 363L00000X4704230094 (MI)

Nurse Practitioner: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance wit…

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About NPI 1184734980

Grace Leyson Rosete-Lasala's National Provider Identifier is 1184734980, issued on Aug 30, 2006. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Dearborn Heights, MI. The record was last updated on Jul 8, 2007.