Individual
MS. EILEEN RAFFERTY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
279 LINCOLN ST, WORCESTER, MA 01605-2120
(508) 334-8847
Mailing address
PO BOX 415348, BOSTON, MA 02241-5348
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
119994
MA
363LF0000X
Family Nurse Practitioner
RN119994
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0348040
—
MA
Enumeration date
03/28/2006
Last updated
02/26/2014
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