Individual
MS. KATHERINE BOWEN RASMUSSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
655 KENMOOR AVE SE STE 201, GRAND RAPIDS, MI 49546-8622
(616) 920-0825
Mailing address
18566 SHAWNEE DR, SPRING LAKE, MI 49456-9417
(616) 502-6447
Taxonomy
Speciality
Code
Description
License number
State
363LW0102X
Women's Health Nurse Practitioner
Primary
4704281038
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4704281038
STATE LICENSE
MI
Enumeration date
10/02/2006
Last updated
03/24/2022
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