Individual provider · Type 1 NPI

Theodora Ruxandra Nae, PA

Physician Assistant · Grand Rapids, MI

NPI number 1780929018 Active

Practice location

4100 Lake Dr SE
Grand Rapids, MI 49546-8292

Call (616) 267-7414 Map

Mailing address

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

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant Primary 363A00000X5601006369 (MI)

Physician Assistant: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, orde…

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About NPI 1780929018

Theodora Ruxandra Nae, PA's National Provider Identifier is 1780929018, issued on Nov 27, 2012. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in Grand Rapids, MI. The record was last updated on Dec 12, 2025.