Provider Demographics
NPI:1578799318
Name:JAROS, KARIN MICHELLE (NP-C)
Entity Type:Individual
Prefix:
First Name:KARIN
Middle Name:MICHELLE
Last Name:JAROS
Suffix:
Gender:F
Credentials:NP-C
Other - Prefix:
Other - First Name:KARIN
Other - Middle Name:MICHELLE
Other - Last Name:SEAVER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:501 LAPEER
Mailing Address - Street 2:
Mailing Address - City:SAGINAW
Mailing Address - State:MI
Mailing Address - Zip Code:48607-1208
Mailing Address - Country:US
Mailing Address - Phone:989-755-0316
Mailing Address - Fax:989-755-0956
Practice Address - Street 1:3115 MACKINAW ST
Practice Address - Street 2:
Practice Address - City:SAGINAW
Practice Address - State:MI
Practice Address - Zip Code:48602-3221
Practice Address - Country:US
Practice Address - Phone:989-399-5940
Practice Address - Fax:989-399-8261
Is Sole Proprietor?:No
Enumeration Date:2009-06-08
Last Update Date:2021-04-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI4704196683363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
MI381908328OtherHCAP
MI1578799318Medicaid