Rafferty, Eileen

Rafferty, Eileen is an individual health care provider with primary practice located at 279 Lincoln St , Worcester MA 01605-2120. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, Physician Assistants & Advanced Practice Nursing Providers / Family. Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner is her primary health care specialty. Rafferty, Eileen can be contacted via phone (508) 334-8847.

Contact Information

Primary practice address
279 Lincoln St Worcester MA 01605-2120
Phone: (508) 334-8847
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 119994 Massachusetts
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X RN119994 Massachusetts

Profile Details

NPI number 1235199605
LBN Legal business name Rafferty, Eileen
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 28th, 2006
Last updated Feb 26th, 2014 - about 12 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 1235199605 NPPES
Massachusetts MEDICAID 0348040

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