MEDICARE: RUTH B RAFFIELD F.N.P.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363LF0000X	Family Nurse Practitioner	201232	NC

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	500026531	OTHER		RAILROAD MEDICARE B

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1740272558
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	RUTH B RAFFIELD F.N.P.

Provider Business Mailing Address
First Line	:	2293 SUGAR HILL RD STE D
Second Line	:
City	:	MARION
State	:	NC
Zip	:	28752-7787
Country	:	US
Telephone Number	:	828-652-8727
Fax Number	:	828-652-8793

Provider Business Practice Location Address
First Line	:	2293 SUGAR HILL RD STE D
Second Line	:
City	:	MARION
State	:	NC
Zip	:	28752-7787
Country	:	US
Telephone Number	:	828-652-8727
Fax Number	:	828-652-8793

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/17/2005
Last Update Date	:	11/30/2017

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