| Ashley Rozeveld, | |
|
11 N Maple St, Grant, MI 49327-7900 | |
| (231) 834-0444 | |
| Not Available |
| Full Name | Ashley Rozeveld |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner - Family |
| Location | 11 N Maple St, Grant, Michigan |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1518620293 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 163W00000X | Registered Nurse | 4704363455 (Michigan) | Secondary |
| 363LF0000X | Nurse Practitioner - Family | 4704363455 (Michigan) | Primary |
| Entity Name | Lake City Primary Care Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1952896151 PECOS PAC ID: 7911242433 Enrollment ID: O20190102001466 |
| Mailing Address | Practice Location Address |
|---|---|
| Ashley Rozeveld, 1420 16 Mile Rd, Kent City, MI 49330-9044 Ph: () - | Ashley Rozeveld, 11 N Maple St, Grant, MI 49327-7900 Ph: (231) 834-0444 |
Michelle Leigh Regan, PPCNP-BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 95 E 120th St, Grant, MI 49327 Phone: 231-834-1350 Fax: 231-834-1355 | |
Katelyn Jo Barton, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 71 S Front St, Grant, MI 49327 Phone: 844-537-1036 Fax: 833-626-1945 | |
Leah Wigent, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 11 N Maple St, Grant, MI 49327 Phone: 231-834-0444 Fax: 231-834-0200 | |
Ms. Suzanne M. Van Wieren, F.N.P. Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 71 S Front St, Grant, MI 49327 Phone: 231-834-5676 Fax: 231-834-7211 | |
Patricia A Lewis, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 71 S Front St, Grant, MI 49327 Phone: 844-537-1036 Fax: 833-626-1945 | |
Amanda Weber, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 11 N Maple St, Grant, MI 49327 Phone: 231-834-0444 Fax: 231-834-0200 | |
Sheryl Sue Bourzac, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 96 E 120th St, Grant, MI 49327 Phone: 231-834-0444 Fax: 231-834-0200 |