Individual
PAUL DAVID RASE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CNP
Contact information
Practice address
1711 27TH ST STE 206, PORTSMOUTH, OH 45662-2669
(740) 356-8772
(740) 356-1264
Mailing address
1735 27TH ST STE B06, PORTSMOUTH, OH 45662-2681
(740) 356-8681
(740) 356-1264
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
COA.15117-NP
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0091229
—
OH
05
—
7100292080
—
KY
Enumeration date
09/12/2013
Last updated
04/17/2023
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