Individual provider · Type 1 NPI
Tyler James Rafferty, FNP-BC
Family Nurse Practitioner · Rockford, IL
NPI number
1003596263
Active
Practice location
5666 E State St
Rockford, IL 61108-2425
Mailing address
3739 W Cedarville Rd
Freeport, IL 61032-8533
Other practice locations
- 698 Featherstone Rd Ste 150, Rockford, IL 61107-6303 · (815) 387-1717
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Nurse Practitioner Primary | 363LF0000X | 209027848 (IL) |
Family Nurse Practitioner: Definition to come...
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About NPI 1003596263
Tyler James Rafferty, FNP-BC's National Provider Identifier is 1003596263, issued on Jul 24, 2023. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Rockford, IL. The record was last updated on Sep 12, 2023.