Individual
MS. RUTHANN RAFACZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
107 DILWORTH ST, GLENDIVE, MT 59330-2053
(406) 345-8901
Mailing address
468 MOUNTAIN VIEW RD, BLANCHARD, ID 83804-8544
(208) 437-0780
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
178334
MT
Other
Enumeration date
04/20/2010
Last updated
05/03/2022
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