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:
Health care specialties
| Specialty | Code | License # | 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1669650107 | NPPES |
| Wisconsin | MEDICAID | 43825200 |
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