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Individual
MS. THERESA ANNE RASKAUSKAS
Active
Individual
MS. THERESA ANNE RASKAUSKAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSN, FNP-BC, PMHNP-B
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
AP10020
AZ
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
RN206698
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
AP10020
APN LICENSE
AZ
01
—
RN206698
RN LICENSE
AZ
Enumeration date
11/18/2011
Last updated
04/24/2019
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