Carrie Ruth Roberson, PA
Physician Assistant in Grand Haven, MI. Individual provider (NPI-1).
NPI number1346248564
StatusActive
Last updated in NPPESJul 28, 2022
Details
- NPI
- 1346248564
- Entity type
- Individual (NPI-1)
- Name
- Carrie Ruth Roberson
- Credential
- PA
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jul 12, 2005
- Certification date
- Jul 28, 2022
- Last updated
- Jul 28, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363A00000X | Physician Assistant | 5601003155 | MI | Yes |
Practice location
1600 S Beacon BlvdGrand Haven, MI 49417-2654
Phone 616-344-1033
Mailing address
1600 S Beacon BlvdGrand Haven, MI 49417-2654
Phone 616-344-1033
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All 17 Physician Assistant providers in Grand Haven · All 892 providers in Grand Haven
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