Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Marissa Rose Harrah, NP-C

Individual provider Registered Nurse · NPI 1609345370

Marissa Rose Harrah, NP-C is a Nurse Practitioner in Detroit, Michigan. Qualified in 2018, 8 years ago. Practices as a sole proprietor and works from 2 locations. Licensed in Michigan.

Years since qualifying
8
Licensed in
MI
In the registry since
2018
Specialties on file
2
What do these letters mean?
NP-C — Nurse Practitioner, Certified
A nurse practitioner certified by the AANP.

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Practice location Address checks out

22101 Moross Rd
Detroit, MI 48236-2148
Phone: (313) 343-4000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 21844 23 Mile Rd, Macomb, MI 48042-4422 — (586) 840-4916

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 4704282487 (MI)
Registered Nurse Taxonomy 163W00000X · Licence 4704282487 (MI)

Record details

NPI number1609345370
Entity typeIndividual (Type 1)
GenderFemale
Credentials NP-C
Sole proprietorYes
NPI enumeratedNovember 25, 2018
Last updated in NPPESMarch 21, 2019

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2018 (8 years in practice)
Accepts Medicare assignment Not indicated
Practice locations2 on file with Medicare

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