Individual provider · Type 1 NPI
Stephanie Roszman
Acute Care Nurse Practitioner · Grand Rapids, MI
NPI number
1790370153
Active
Practice location
100 Michigan St NE
Grand Rapids, MI 49503-2560
Mailing address
100 Michigan St NE # MC845
Grand Rapids, MI 49503-2560
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Acute Care Nurse Practitioner Primary | 363LA2100X | 4704433087 (MI) |
Acute Care Nurse Practitioner: Definition to come...
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About NPI 1790370153
Stephanie Roszman's National Provider Identifier is 1790370153, issued on Mar 7, 2021. The primary taxonomy on file is Acute Care Nurse Practitioner (363LA2100X), and the practice location is in Grand Rapids, MI. The record was last updated on Feb 23, 2026.