Individual provider · Type 1 NPI
John Rafferty, CRNP
Family Nurse Practitioner · Tobyhanna, PA
NPI number
1386294684
Active
Practice location
100 Community Dr
Tobyhanna, PA 18466-8985
Fax (570) 839-1079
Mailing address
PO Box 783311
Philadelphia, PA 19178-3311
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Registered Nurse | 163W00000X | RN684876 (PA) |
| Family Nurse Practitioner Primary | 363LF0000X | SP020602 (PA) |
Family Nurse Practitioner: Definition to come...
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About NPI 1386294684
John Rafferty, CRNP's National Provider Identifier is 1386294684, issued on Sep 18, 2019. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Tobyhanna, PA. The record was last updated on Nov 19, 2019.