Individual
JOHANNA ROSE RASCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSN, PMHNP-BC
Contact information
Practice address
300 68TH ST SE, GRAND RAPIDS, MI 49548-6927
(616) 455-5000
(616) 455-5960
Mailing address
2479 MELBY ST, CASNOVIA, MI 49318-9504
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
4704376221
MI
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
4704376221
MI
Other
Enumeration date
06/20/2026
Last updated
07/08/2026
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