Individual
SHAUNA RAFFERTY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP-C
Contact information
Practice address
836 FARMINGTON AVE STE 207, WEST HARTFORD, CT 06119-1544
(860) 232-9911
Mailing address
45 EXETER AVE, WEST HARTFORD, CT 06110-1212
(203) 560-1506
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
8750
CT
Other
Enumeration date
03/09/2020
Last updated
03/09/2020
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