Provider Demographics
NPI:1356072060
Name:RAFFI, MELINDA DIANE
Entity Type:Individual
Prefix:
First Name:MELINDA
Middle Name:DIANE
Last Name:RAFFI
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:MINDY
Other - Middle Name:
Other - Last Name:RAFFI
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:23 WILKELE RD UNIT 1
Mailing Address - Street 2:
Mailing Address - City:SANDOWN
Mailing Address - State:NH
Mailing Address - Zip Code:03873-2393
Mailing Address - Country:US
Mailing Address - Phone:757-328-5156
Mailing Address - Fax:
Practice Address - Street 1:23 WILKELE RD UNIT 1
Practice Address - Street 2:
Practice Address - City:SANDOWN
Practice Address - State:NH
Practice Address - Zip Code:03873-2393
Practice Address - Country:US
Practice Address - Phone:757-328-5156
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-06-22
Last Update Date:2023-05-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3747P1801XNursing Service Related ProvidersTechnicianPersonal Care Attendant
No372600000XNursing Service Related ProvidersAdult Companion
No374U00000XNursing Service Related ProvidersHome Health Aide