Individual
REBECCA ROUSSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
1215 E MICHIGAN AVE, LANSING, MI 48912-1811
(517) 337-0957
Mailing address
1315 W BARNES AVE, LANSING, MI 48910-1211
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
4704218161
MI
Other
Enumeration date
09/12/2012
Last updated
01/29/2014
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