MEDICARE: LINDA L ROSSMAN NP

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363L00000X	Nurse Practitioner	4704125249	MI

General Provider Information

NPI Number	:	1528070984
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	LINDA L ROSSMAN NP

Provider Business Mailing Address
First Line	:	700 WASHINGTON AVE STE 220
Second Line	:
City	:	GRAND HAVEN
State	:	MI
Zip	:	49417-1462
Country	:	US
Telephone Number	:	616-842-6710
Fax Number	:	616-842-1103

Provider Business Practice Location Address
First Line	:	700 WASHINGTON AVE STE 220
Second Line	:
City	:	GRAND HAVEN
State	:	MI
Zip	:	49417-1462
Country	:	US
Telephone Number	:	616-842-6710
Fax Number	:	616-842-1103

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/13/2006
Last Update Date	:	01/15/2024

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