Individual
DOUGLAS WILLIAM RAE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MSN, APRN, FNP-C
Contact information
Practice address
1101 N CENTRAL AVE STE 200, PHOENIX, AZ 85004-1844
(602) 307-5330
(602) 307-5021
Mailing address
1101 N CENTRAL AVE STE 200, PHOENIX, AZ 85004-1844
(602) 307-5330
(602) 307-5021
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
269501
AZ
Other
Enumeration date
10/07/2025
Last updated
01/05/2026
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