Individual provider · Type 1 NPI

Douglas Rau

Nurse Practitioner · Grand Rapids, MI

NPI number 1376085191 Active

Practice location

1900 Wealthy St SE Ste 300
Grand Rapids, MI 49506-2969

Call (616) 774-8345 Map

Fax (616) 774-8350

Mailing address

100 Michigan St NE, MC845
Grand Rapids, MI 49503-2560

Specialties and licenses

TaxonomyCodeLicense
Registered Nurse 163W00000X4704266089 (MI)
Nurse Practitioner Primary 363L00000X4704266089 (MI)

Nurse Practitioner: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance wit…

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About NPI 1376085191

Douglas Rau's National Provider Identifier is 1376085191, issued on Nov 10, 2016. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Grand Rapids, MI. The record was last updated on May 23, 2023.