Individual provider · Type 1 NPI

Carly Riselay-Roque

Licensed Practical Nurse · Saginaw, MI

NPI number 1447729751 Active

Practice location

3995 Fashion Square Blvd
Saginaw, MI 48603-1291

Call (989) 799-0410 Map

Fax (989) 799-0410

Specialties and licenses

TaxonomyCodeLicense
Licensed Practical Nurse Primary 164W00000X4703117418 (MI)

Licensed Practical Nurse: An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.

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About NPI 1447729751

Carly Riselay-Roque's National Provider Identifier is 1447729751, issued on Nov 15, 2018. The primary taxonomy on file is Licensed Practical Nurse (164W00000X), and the practice location is in Saginaw, MI. The record was last updated on Sep 29, 2026.