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Contact Information

ROBERTA J WALSH, RN.,CNP
201 SHELDON BLVD SE
GRAND RAPIDS, MI49503-4513
 Phone: 616-459-4212
 Fax: 616-774-9022
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type
 

Psychiatric/Mental Health

163WP0808X
 

Psychiatric/Mental Health

363LP0808X 50 Nurse Practitioner
Indicates primary specialty

NPI Profile & details for ROBERTA J WALSH · (Female)

NPI # 1013089630
Status Active
Credentials RN.,CNP
Entity Individual
Enumeration date 11/15/2006
Last updated 07/09/2007 - About 12 years ago
Sole proprietor 1 No
Identifiers
  • MI License # 4704075934
  • MI Medicaid 4807934
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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