Vicencio-Rasku, Iris

Vicencio-Rasku, Iris is an individual health care provider with primary practice located at 421 N Main St , Leeds MA 01053-9764. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Family, Physician Assistants & Advanced Practice Nursing Providers / Adult Health. Physician Assistants & Advanced Practice Nursing Providers / Adult Health is her primary health care specialty. Vicencio-Rasku, Iris can be contacted via phone (413) 584-4040.

Contact Information

Primary practice address
421 N Main St Leeds MA 01053-9764
Phone: (413) 584-4040
Fax: (413) 582-3165
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X RN276885 Massachusetts
Physician Assistants & Advanced Practice Nursing Providers / Adult Health 363LA2200X RN276885 Massachusetts

Profile Details

NPI number 1972044980
LBN Legal business name Vicencio-Rasku, Iris
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 10th, 2017
Last updated Sep 26th, 2023 - about 2 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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