Walsh, Roberta J

Walsh, Roberta J is an individual health care provider with primary practice located at 201 Sheldon Blvd Se , Grand Rapids MI 49503-4513. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health, Nursing Service Providers / Psychiatric/Mental Health. Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health is her primary health care specialty. Walsh, Roberta J can be contacted via phone (616) 459-4212.

Contact Information

Primary practice address
201 Sheldon Blvd Se Grand Rapids MI 49503-4513
Phone: (616) 459-4212
Fax: (616) 774-9022
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X 4704075934 Michigan
Nursing Service Providers / Psychiatric/Mental Health 163WP0808X Michigan

Profile Details

NPI number 1013089630
LBN Legal business name Walsh, Roberta J
Credentials RN.,CNP
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 15th, 2006
Last updated Jul 9th, 2007 - about 18 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1013089630 NPPES
Michigan MEDICAID 4807934

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