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Individual

KATIE P RAJU

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CRNP

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
274598
MA
363LF0000X
Family Nurse Practitioner
Primary
RN274598
MA
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
089889-23
NH

Other

Enumeration date
05/25/2006
Last updated
03/01/2023
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