Individual
ANNISSA ROSSER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PMHNP-BC
Contact information
Practice address
8150 E 13 MILE RD, WARREN, MI 48093-8700
(800) 395-3223
(833) 329-6632
Mailing address
6549 TOWN CENTER DR STE A, CLARKSTON, MI 48346-4824
(800) 395-3223
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
4704316591
MI
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
4704316591
MI
Other
Enumeration date
05/13/2019
Last updated
08/24/2023
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