| Doctor Name: | MS. RUTHANN RAFACZ |
| NPI Number: | 1063739704 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | NP |
| License Number: | 970A |
| Business Practice Address: | 1090 W Park Pl Coeur D Alene, ID - 838142785 |
| Business Phone Number: | 2082920301 |
| Business Fax Number: | 2086645346 |
| Mailing Address: | 468 Mountain View Rd, BLANCHARD |
| State: | ID |
| Postal Code: | 838048544 |
| Phone Number: | 2084370780 |
| Fax Number: | |
| NPI Enumeration Date: | 04/20/2010 |
| NPI Last Update Date: | 10/24/2012 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 364SG0600X |
| License Number: | 970A |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | ID |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Clinical Nurse Specialist |
| Taxonomy Specialization: | Gerontology |
| Taxonomy Definition: | |