Provider Demographics
NPI:1326878034
Name:RIFENBURG, HILARY RUTH
Entity type:Individual
Prefix:
First Name:HILARY
Middle Name:RUTH
Last Name:RIFENBURG
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6398 REBEL RD
Mailing Address - Street 2:
Mailing Address - City:KETCHIKAN
Mailing Address - State:AK
Mailing Address - Zip Code:99901-9777
Mailing Address - Country:US
Mailing Address - Phone:907-220-1048
Mailing Address - Fax:
Practice Address - Street 1:313 CARLANNA LAKE RD
Practice Address - Street 2:
Practice Address - City:KETCHIKAN
Practice Address - State:AK
Practice Address - Zip Code:99901-5614
Practice Address - Country:US
Practice Address - Phone:907-220-1048
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-08-06
Last Update Date:2024-08-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes172V00000XOther Service ProvidersCommunity Health Worker