Provider Demographics
NPI:1316489693
Name:MARCH, RONYA LEE (NP-C)
Entity type:Individual
Prefix:
First Name:RONYA
Middle Name:LEE
Last Name:MARCH
Suffix:
Gender:F
Credentials:NP-C
Other - Prefix:
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Other - Credentials:
Mailing Address - Street 1:6825 ALLEN RD
Mailing Address - Street 2:
Mailing Address - City:ALLEN PARK
Mailing Address - State:MI
Mailing Address - Zip Code:48101-2007
Mailing Address - Country:US
Mailing Address - Phone:313-294-2941
Mailing Address - Fax:313-294-0437
Practice Address - Street 1:3950 S ROCHESTER RD STE 1300
Practice Address - Street 2:
Practice Address - City:ROCHESTER HILLS
Practice Address - State:MI
Practice Address - Zip Code:48307-5169
Practice Address - Country:US
Practice Address - Phone:248-705-6223
Practice Address - Fax:313-294-0437
Is Sole Proprietor?:Yes
Enumeration Date:2016-11-17
Last Update Date:2017-02-01
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MI4704283448363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
MI1316489693Medicaid
MI1316489693Medicaid