Individual provider · Type 1 NPI
Marie Roach, CNP
Acute Care Nurse Practitioner · Grand Rapids, MI
NPI number
1861188658
Active
Practice location
221 Michigan St NE Ste 300
Grand Rapids, MI 49503-2537
Fax (616) 459-5215
Mailing address
100 Michigan St NE # MC845
Grand Rapids, MI 49503-2560
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Acute Care Nurse Practitioner Primary | 363LA2100X | 4704296256 (MI) |
Acute Care Nurse Practitioner: Definition to come...
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About NPI 1861188658
Marie Roach, CNP's National Provider Identifier is 1861188658, issued on Apr 13, 2023. 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 Jun 18, 2024.