# FATMATA RAYMOND

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1629353404
- **Gender:** F
- **Credential:** APN

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 163W00000X | Registered Nurse | 26NR15442100 | NJ | — |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | 26NJ01344100 | NJ | Yes |

## Other

- **Enumeration date:** 10/12/2011
- **Last updated:** 07/11/2023