Provider Demographics
NPI:1659836609
Name:RAASCH, HERBERT C (DNP, APNP, PMHNP-BC)
Entity Type:Individual
Prefix:DR
First Name:HERBERT
Middle Name:C
Last Name:RAASCH
Suffix:
Gender:M
Credentials:DNP, APNP, PMHNP-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4915 S HOWELL AVE STE 503
Mailing Address - Street 2:
Mailing Address - City:MILWAUKEE
Mailing Address - State:WI
Mailing Address - Zip Code:53207-5939
Mailing Address - Country:US
Mailing Address - Phone:262-282-3253
Mailing Address - Fax:414-212-8988
Practice Address - Street 1:4915 S HOWELL AVE STE 503
Practice Address - Street 2:
Practice Address - City:MILWAUKEE
Practice Address - State:WI
Practice Address - Zip Code:53207-5939
Practice Address - Country:US
Practice Address - Phone:262-282-3253
Practice Address - Fax:414-212-8988
Is Sole Proprietor?:No
Enumeration Date:2019-02-04
Last Update Date:2024-04-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI8882-33363LP0808X, 363L00000X, 363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health
No363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner