Individual
JOHANNA ROSE RASCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSN, PMHNP-BC
Contact information
Practice address
260 JEFFERSON AVE SE STE 100, GRAND RAPIDS, MI 49503-6300
(616) 336-3909
Mailing address
2479 MELBY ST, CASNOVIA, MI 49318-9504
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
4704376221
MI
Other
Enumeration date
06/20/2026
Last updated
06/20/2026
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