GEERTRUIDA C ROER GNP NPI 1740219609

NPI Information

NPI: 1740219609
Provider Name: GEERTRUIDA C ROER, GNP
Classification: Nurse Practitioner - 363LG0600X
Entity Type: Individual

Specialization: Gerontology

Address:
28800 RYAN RD
SUITE 320
WARREN, MI
ZIP 48092
Phone: (586) 620-8100
Get Directions

Geertruida C Roer, GNP is a gerontology nurse practitioner in Warren, MI. Geertruida C Roer, GNP NPI is 1740219609. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

28800 RYAN RD
SUITE 320
WARREN, MI
ZIP 48092-272
Phone: (586) 620-8100
Fax: (866) 227-7418

The enumeration date for this NPI number is 7/2/2006 and was last updated on 10/24/2012.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363LG0600X	Nurse Practitioner	Gerontology	4704142979	MICHIGAN	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	500F410070	OTHER	MICHIGAN	BCBS
2	P00508	MEDICARE UPIN	MICHIGAN
3	500024152	OTHER	MICHIGAN	RAILROAD MEDICARE
4	0N92310 002	MEDICARE ID-TYPE UNSPECIFIED	MICHIGAN
5	4407333 TYPE 11	MEDICARE ID-TYPE UNSPECIFIED	MICHIGAN

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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