Individual
MS. ROBERTA J WALSH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN.,CNP
Contact information
Practice address
201 SHELDON BLVD SE, GRAND RAPIDS, MI 49503-4513
(616) 459-4212
(616) 774-9022
Mailing address
201 SHELDON BLVD SE, GRAND RAPIDS, MI 49503-4513
(616) 459-4212
(616) 774-9022
Taxonomy
Speciality
Code
Description
License number
State
163WP0808X
Psychiatric/Mental Health Registered Nurse
Primary
—
MI
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
4704075934
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4807934
—
MI
Enumeration date
11/15/2006
Last updated
09/11/2025
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