Individual
MRS. DIANNE MARIE RAFFERTY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
54 SOUTH STATE ST, STE 203, PAINESVILLE, OH 44077
(440) 352-0608
(440) 352-0640
Mailing address
2980 LEGEND LN, WICKLIFFE, OH 44092-2800
(440) 944-0805
Taxonomy
Speciality
Code
Description
License number
State
363LW0102X
Women's Health Nurse Practitioner
Primary
NP07313
OH
363LW0102X
Women's Health Nurse Practitioner
RN155127
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2411429
—
OH
Enumeration date
11/16/2005
Last updated
10/26/2015
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