Provider Demographics
NPI:1407169832
Name:ROEHRS, ANN MARIE (FNP)
Entity Type:Individual
Prefix:
First Name:ANN
Middle Name:MARIE
Last Name:ROEHRS
Suffix:
Gender:F
Credentials:FNP
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Other - First Name:
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Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:9249 W LAKE CITY RD
Mailing Address - Street 2:MIDMICHIGAN HEALTH SERVICES
Mailing Address - City:HOUGHTON LAKE
Mailing Address - State:MI
Mailing Address - Zip Code:48629-9602
Mailing Address - Country:US
Mailing Address - Phone:989-422-5122
Mailing Address - Fax:989-422-4378
Practice Address - Street 1:439 S ROSS ST
Practice Address - Street 2:MIDMICHIGAN MEDICAL OFFICES-BEAVERTON
Practice Address - City:BEAVERTON
Practice Address - State:MI
Practice Address - Zip Code:48612-9101
Practice Address - Country:US
Practice Address - Phone:989-246-3500
Practice Address - Fax:989-246-3519
Is Sole Proprietor?:No
Enumeration Date:2010-07-14
Last Update Date:2012-10-26
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MI4704191364363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily