Marsha Marie Harrison, RN

Individual provider Active NPI General Practice Registered Nurse · Walker, MI

NPI 1770645210 · NPPES record last updated Jul 8, 2007

Key facts

NPI
1770645210
Entity type
Individual (NPI type 1)
Primary specialty
General Practice Registered Nurse 163WG0000X
License
4704091203 (MI)
Practice address
717 N Center Dr NW
Walker, MI 49544-8215
Phone
(616) 647-2599
Fax
(616) 647-2596
NPI assigned
Dec 14, 2006
Sex
Female
Sole proprietor
No

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No
Credentials
Registered Nurse

State licenses

LicenseStateTypeSpecialty
4704091203MIMDGeneral Practice Registered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Hope Network Behavioral Health Services Past
since Jan 6, 2025
Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Registered Nurse 163WG0000X 4704091203 MI Yes

Addresses

Primary practice location

717 N Center Dr NW
Walker, MI 49544-8215

Mailing address

1349 32ND St SW
Grand Rapids, MI 49509-2715
Phone (616) 647-2599

Other providers in Walker, MI

All providers in Walker, MI · General Practice Registered Nurse in Michigan

Sources for this page

Verify at the official NPI Registry.