| Cheryl Louise Rose, FNP | |
|
78 N Division St, Hesperia, MI 49421-5107 | |
| (231) 854-6415 | |
| Not Available |
| Full Name | Cheryl Louise Rose |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner - Family |
| Location | 78 N Division St, Hesperia, Michigan |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1295300226 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | 4704247814 (Michigan) | Primary |
| Entity Name | Memorial Medical Center Of West Michigan |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1972589489 PECOS PAC ID: 3678543659 Enrollment ID: O20071128000647 |
| Mailing Address | Practice Location Address |
|---|---|
| Cheryl Louise Rose, FNP 100 Michigan St Ne # Mc845, Grand Rapids, MI 49503-2560 Ph: () - | Cheryl Louise Rose, FNP 78 N Division St, Hesperia, MI 49421-5107 Ph: (231) 854-6415 |
Mollie T Hudson, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 78 N Division St, Hesperia, MI 49421 Phone: 231-854-7235 | |
Dianna Brown, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 78 N Division, Hesperia, MI 49421 Phone: 231-854-6415 Fax: 231-854-6975 | |
Barbara Ellen Steinmacher, CNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 78 N Division St, Hesperia, MI 49421 Phone: 231-854-6415 |