Individual
DEBRA RAFFERTY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1365 E PARKS HIGHWAY, WASILLA, AK 99654-8298
(907) 357-6445
(907) 376-6402
Mailing address
49855 BISHOP DR, KENAI, AK 99611-9439
(907) 252-1938
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
—
—
172V00000X
Community Health Worker
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1638161
—
AK
Enumeration date
02/23/2016
Last updated
08/11/2025
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