Raczka, Tara S,

Raczka, Tara S, is an individual health care provider with primary practice located at 438 W. Seed Farm Rd , Sacaton AZ 85147-0038. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Raczka, Tara S, can be contacted via phone (520) 550-6000.

Contact Information

Primary practice address
438 W. Seed Farm Rd Sacaton AZ 85147-0038
Fax: (520) 550-6032
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X AP4566 Arizona

Profile Details

NPI number 1710288105
LBN Legal business name Raczka, Tara S,
Credentials FNP-C
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 16th, 2010
Last updated Jan 31st, 2013 - about 11 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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