Provider Demographics
NPI:1003804881
Name:FIFE, ROSE MARIE (CNM)
Entity Type:Individual
Prefix:
First Name:ROSE
Middle Name:MARIE
Last Name:FIFE
Suffix:
Gender:F
Credentials:CNM
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Mailing Address - Street 1:501 LAPEER
Mailing Address - Street 2:HEALTH DELIVERY INC
Mailing Address - City:SAGINAW
Mailing Address - State:MI
Mailing Address - Zip Code:48607-1208
Mailing Address - Country:US
Mailing Address - Phone:989-759-6464
Mailing Address - Fax:989-399-8233
Practice Address - Street 1:3175 W PROFESSIONAL DR
Practice Address - Street 2:
Practice Address - City:BAY CITY
Practice Address - State:MI
Practice Address - Zip Code:48706
Practice Address - Country:US
Practice Address - Phone:989-667-3377
Practice Address - Fax:989-667-9991
Is Sole Proprietor?:No
Enumeration Date:2005-10-06
Last Update Date:2011-03-09
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Provider Licenses
StateLicense IDTaxonomies
MI4704113509367A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes367A00000XPhysician Assistants & Advanced Practice Nursing ProvidersAdvanced Practice Midwife
Provider Identifiers
StateIdentifier IDID TypeIssuer
118691OtherGREAT LAKES HEALTH PLAN
9366637OtherCIGNA PHCS
MI37783OtherHEALTH PLAN OF MICHIGAN
420G310800OtherBCBS OF MICHIGAN
4529891OtherMOLINA HEALTH CARE OF MI
1009134OtherMCLAREN HEALTH PLAN
210OtherCOMMUNITY CHOICE OF MI
420001324OtherRAILROAD MEDICARE
MI1003804881Medicaid
381908328OtherUNITED HEALTH CARE
0995668OtherHEALTHPLUS OF MICHIGAN
1009134OtherHEALTH ADVANTAGE PPO
7330259OtherAETNA
1009134OtherMCLAREN HEALTH PLAN
4529891OtherMOLINA HEALTH CARE OF MI