Individual provider · Type 1 NPI
Theresa Anne Raskauskas, MSN, FNP-BC, PMHNP-B
Psychiatric/Mental Health Nurse Practitioner · Phoenix, AZ
NPI number
1114294147
Active
Practice location
4212 N 16th St
Phoenix, AZ 85016-5319
Fax (602) 263-1625
Mailing address
PO Box 31001-0698
Pasadena, CA 91110-0698
Other practice locations
- 912 13th Ave, Belmar, NJ 07719-2805 · (732) 894-3383
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | RN206698 (AZ) |
| Psychiatric/Mental Health Nurse Practitioner Primary | 363LP0808X | AP10020 (AZ) |
Psychiatric/Mental Health Nurse Practitioner: Definition to come...
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About NPI 1114294147
Theresa Anne Raskauskas, MSN, FNP-BC, PMHNP-B's National Provider Identifier is 1114294147, issued on Nov 18, 2011. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in Phoenix, AZ. The record was last updated on Apr 24, 2019.