Vicencio-Rasku, Iris

Vicencio-Rasku, Iris is an individual health care provider with primary practice located at 150 S Huntington Ave Bldg 9 , Jamaica Plain MA 02130-4817. She recently has 3 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Adult Health, Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, Physician Assistants & Advanced Practice Nursing Providers / Family. 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
150 S Huntington Ave Bldg 9 Jamaica Plain MA 02130-4817
Phone: (413) 584-4040
Fax: (857) 364-6003
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Adult Health 363LA2200X RN276885 Massachusetts
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X RN276885 Massachusetts
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 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 Jul 30th, 2026 - about 4 months 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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