Rafferty, Carol A.

Rafferty, Carol A. is an individual health care provider with primary practice located at 725 S Webster Ave The Neuro Team, Green Bay WI 54301-3500. She recently has 3 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, Nursing Service Providers / Registered Nurse, Physician Assistants & Advanced Practice Nursing Providers / Adult Health. Physician Assistants & Advanced Practice Nursing Providers / Adult Health is her primary health care specialty. Rafferty, Carol A. can be contacted via phone (920) 433-7995.

Contact Information

Primary practice address
725 S Webster Ave The Neuro Team Green Bay WI 54301-3500
Phone: (920) 433-7995
Fax: (920) 433-3458
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 472-33 Wisconsin
Nursing Service Providers / Registered Nurse 163W00000X 65003 Wisconsin
Physician Assistants & Advanced Practice Nursing Providers / Adult Health 363LA2200X 472033 Wisconsin

Profile Details

NPI number 1669650107
LBN Legal business name Rafferty, Carol A.
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 7th, 2008
Last updated Dec 29th, 2014 - about 10 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1669650107 NPPES
Wisconsin MEDICAID 43825200

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