Individual
PATRICIA K. RAU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSN, CGRN, ANP
Contact information
Practice address
310 LAFAYETTE AVE SE, SUITE 400, GRAND RAPIDS, MI 49503-4693
(616) 752-6525
(616) 752-6556
Mailing address
310 LAFAYETTE AVE SE, SUITE 400, GRAND RAPIDS, MI 49503-4693
(616) 752-6525
(616) 752-6556
Taxonomy
Speciality
Code
Description
License number
State
163WG0100X
Gastroenterology Registered Nurse
4704141476
MI
363LA2200X
Adult Health Nurse Practitioner
Primary
4704141476
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4385281
—
MI
Enumeration date
06/29/2005
Last updated
09/27/2012
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