Provider Demographics
NPI:1225181555
Name:TITUS RAU, MORGAN JENNIE (ND)
Entity Type:Individual
Prefix:DR
First Name:MORGAN
Middle Name:JENNIE
Last Name:TITUS RAU
Suffix:
Gender:F
Credentials:ND
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:36 MAPLE ST # 3
Mailing Address - Street 2:
Mailing Address - City:VASSALBORO
Mailing Address - State:ME
Mailing Address - Zip Code:04989-3129
Mailing Address - Country:US
Mailing Address - Phone:207-469-5534
Mailing Address - Fax:207-873-3924
Practice Address - Street 1:36 MAPLE ST # 3
Practice Address - Street 2:
Practice Address - City:VASSALBORO
Practice Address - State:ME
Practice Address - Zip Code:04989-3129
Practice Address - Country:US
Practice Address - Phone:207-469-5534
Practice Address - Fax:207-873-3924
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-19
Last Update Date:2012-07-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MENP288175F00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes175F00000XOther Service ProvidersNaturopath