Provider Demographics
NPI:1063532521
Name:O'RAFFERTY, NONEEN
Entity type:Individual
Prefix:
First Name:NONEEN
Middle Name:
Last Name:O'RAFFERTY
Suffix:
Gender:F
Credentials:
Other - Prefix:MRS
Other - First Name:NONEEN
Other - Middle Name:JO
Other - Last Name:MURDOCH
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:DOM
Mailing Address - Street 1:4632 VINCENNES BLVD STE 104
Mailing Address - Street 2:
Mailing Address - City:CAPE CORAL
Mailing Address - State:FL
Mailing Address - Zip Code:33904-9105
Mailing Address - Country:US
Mailing Address - Phone:239-542-5600
Mailing Address - Fax:
Practice Address - Street 1:4632 VINCENNES BLVD STE 104
Practice Address - Street 2:
Practice Address - City:CAPE CORAL
Practice Address - State:FL
Practice Address - Zip Code:33904-9105
Practice Address - Country:US
Practice Address - Phone:239-542-5600
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-03-29
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL1237171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist