Individual provider · Type 1 NPI

Kaitlyn Rafferty, APN

Nurse Practitioner · Hines, IL

NPI number 1831077007 Active

Practice location

5000 S 5th Ave
Hines, IL 60141-3030

Mailing address

1233 Saint Charles Dr
Lockport, IL 60441-3394

Specialties and licenses

TaxonomyCodeLicense
Nurse Practitioner Primary 363L00000X209033033 (IL)

Nurse Practitioner: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance wit…

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About NPI 1831077007

Kaitlyn Rafferty, APN's National Provider Identifier is 1831077007, issued on Aug 25, 2025. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Hines, IL. The record was last updated on Aug 25, 2025.