Individual
ROSIE LUCIA MANNINA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
3555 W 13 MILE RD STE N120, ROYAL OAK, MI 48073-6710
(855) 863-8761
(248) 551-2301
Mailing address
26901 BEAUMONT BLVD STE 3D, SOUTHFIELD, MI 48033-3849
(947) 522-0307
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
4704231678
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
500F318190
BCBSM
MI
Enumeration date
06/13/2008
Last updated
01/22/2021
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