Active NPIIndividual provider

Ruth A Raczkowski, NP

Nurse Practitioner, Psych/Mental Health in Mattapan, Massachusetts

NPI Number1770512956
Practice location
1135 Morton St, Mattapan, MA 02126-2834
Fax
617-533-2401
Last updated
March 19, 2020

Ruth A. Raczkowski is a Nurse Practitioner, Psych/Mental Health based in Mattapan, MA. Ruth A. Raczkowski practices in Mattapan, MA and has the professional credentials of NP. The NPI Number for Ruth A. Raczkowski is 1770512956 and holds a License No. CNP161020 (ME). The current practice location address for Ruth A. Raczkowski is 1135 Morton St, Mattapan, MA 02126-2834 and can be reached out via phone at 617-533-2400 and via fax at 617-533-2401.

Provider Profile Details

NPI Number
1770512956
Provider Name
Ruth A. Raczkowski
Credential
NP
Provider Entity Type
Individual
Gender
Female
Address
1135 Morton St, Mattapan, MA 02126-2834
Phone Number
617-533-2400
Fax Number
617-533-2401
Primary Taxonomy
Nurse Practitioner, Psych/Mental Health · 363LP0808X
Sole Proprietor
No
Provider Enumeration Date
July 1, 2006
Last Update Date
March 19, 2020
Certification Date
March 19, 2020
NPI Status
Active

Provider Business Practice Location Address Details

Address
1135 Morton St
Mattapan, MA 02126-2834
Zip
02126-2834
Phone Number
617-533-2400
Fax Number
617-533-2401
Mattapan, MA 02126Get directions →

Provider Business Mailing Address Details

Address
67 Eustis Pkwy
Waterville, ME 04901-5173
City
Waterville
State
ME
Zip
04901-5173
Phone Number
207-873-2136
Fax Number
207-660-4529

License Information

License Number
CNP161020
License State
ME
Taxonomy
Nurse Practitioner, Psych/Mental Health · 363LP0808X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Ruth A Raczkowski, NP?

The NPI number of Ruth A Raczkowski, NP is 1770512956. It was assigned on July 1, 2006 and is currently active in the NPPES registry.

What is the specialty of Ruth A Raczkowski, NP?

Ruth A Raczkowski, NP is registered under the primary taxonomy Nurse Practitioner, Psych/Mental Health (code 363LP0808X), licensed in ME under license number CNP161020.

Where does Ruth A Raczkowski, NP practice?

The practice location is 1135 Morton St, Mattapan, MA 02126-2834. The office can be reached at 617-533-2400 (phone) or 617-533-2401 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1770512956 directly on the NPPES registry website.

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