Sharla Roose
Individual provider Active NPI Licensed Practical Nurse · Goodrich, MI
NPI 1033348347 · NPPES record last updated Jul 8, 2009
Key facts
- NPI
- 1033348347
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Licensed Practical Nurse 164W00000X
- License
- 4703062680 (MI)
- Practice address
- 9106 Washburn Rd
Goodrich, MI 48438-9744 - Phone
- (248) 672-7590
- NPI assigned
- Jul 8, 2009
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4703062680 | MI | MD | Licensed Practical Nurse |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Licensed Practical Nurse | 164W00000X | 4703062680 | MI | Yes |
Addresses
Primary practice location
9106 Washburn Rd
Goodrich, MI 48438-9744
Mailing address
9106 Washburn Rd
Goodrich, MI 48438-9744
Phone (248) 672-7590
Other providers in Goodrich, MI
- Yamini Ramalingam
- Raspberry Manor
- Bradford G Rice
- Julie Riley
- Robin K. Mitchell LPC LLC
- Erica Sue Sherman
- Kendall Ann Stortz
- Traveling Care Physicians PLLC
- Steven John Turner
- Stuart B. Weiner
All providers in Goodrich, MI · Licensed Practical Nurse in Michigan
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2009. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.