Individual provider · Type 1 NPI

Marissa Beth Roslyn-Clark, NP

Family Nurse Practitioner · Grand Rapids, MI

NPI number 1679734941 Active

Practice location

3800 Lake Michigan Dr NW Ste A
Grand Rapids, MI 49534-4583

Mailing address

100 Michigan St NE # MC845
Grand Rapids, MI 49503-2560

Specialties and licenses

TaxonomyCodeLicense
Family Nurse Practitioner Primary 363LF0000X4704346505 (MI)

Family Nurse Practitioner: Definition to come...

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About NPI 1679734941

Marissa Beth Roslyn-Clark, NP's National Provider Identifier is 1679734941, issued on Jun 19, 2008. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Grand Rapids, MI. The record was last updated on Apr 15, 2024.