Provider Demographics
NPI:1083630966
Name:RAFFIS, ANN MARIE (CNP)
Entity Type:Individual
Prefix:
First Name:ANN MARIE
Middle Name:
Last Name:RAFFIS
Suffix:
Gender:F
Credentials:CNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:20800 HARVARD RD
Mailing Address - Street 2:2ND FLOOR
Mailing Address - City:HIGHLAND HILLS
Mailing Address - State:OH
Mailing Address - Zip Code:44122-7251
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:44 BLAINE AVE
Practice Address - Street 2:SUITE B100
Practice Address - City:BEDFORD
Practice Address - State:OH
Practice Address - Zip Code:44146-2709
Practice Address - Country:US
Practice Address - Phone:440-735-0891
Practice Address - Fax:440-735-0894
Is Sole Proprietor?:No
Enumeration Date:2006-07-14
Last Update Date:2020-12-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHRN185676163W00000X, 364SW0102X
OH01470NP363LW0102X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LW0102XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerWomen's Health
No163W00000XNursing Service ProvidersRegistered Nurse
No364SW0102XPhysician Assistants & Advanced Practice Nursing ProvidersClinical Nurse SpecialistWomen's Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH2044737Medicaid
OH000000509183OtherANTHEM
OH000000221254OtherUNISON
OH7512638OtherAETNA
OH363933OtherWELLCARE
OH744852OtherBUCKEYE
OH363933OtherWELLCARE
OHH268470Medicare PIN
Q05703Medicare UPIN
OHRANP14652Medicare PIN