Doctor Name: | CHANDRA MICHELE RASMUSSEN |
NPI Number: | 1831322494 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | FNP |
License Number: | 4704251080 |
Business Practice Address: | 9900 Birch Run Rd Birch Run, MI - 484159609 |
Business Phone Number: | 9896241515 |
Business Fax Number: | |
Mailing Address: | 2778 N Block Rd, REESE |
State: | MI |
Postal Code: | 487579347 |
Phone Number: | 9892136107 |
Fax Number: | |
NPI Enumeration Date: | 08/31/2009 |
NPI Last Update Date: | 02/19/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LF0000X |
License Number: | 4704251080 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MI |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Family |
Taxonomy Definition: |