Provider Demographics
NPI:1568268316
Name:RAABE, THERESA
Entity type:Individual
Prefix:
First Name:THERESA
Middle Name:
Last Name:RAABE
Suffix:
Gender:
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:19 MOUNTAIN VIEW AVE
Mailing Address - Street 2:
Mailing Address - City:MILL VALLEY
Mailing Address - State:CA
Mailing Address - Zip Code:94941-2017
Mailing Address - Country:US
Mailing Address - Phone:415-609-8547
Mailing Address - Fax:
Practice Address - Street 1:19 MOUNTAIN VIEW AVE
Practice Address - Street 2:
Practice Address - City:MILL VALLEY
Practice Address - State:CA
Practice Address - Zip Code:94941-2017
Practice Address - Country:US
Practice Address - Phone:415-609-8547
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-02-21
Last Update Date:2025-02-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374J00000XNursing Service Related ProvidersDoula