Provider Demographics
NPI:1760760235
Name:RAGASA, AUDRI MCBAY (CRNP)
Entity Type:Individual
Prefix:MRS
First Name:AUDRI
Middle Name:MCBAY
Last Name:RAGASA
Suffix:
Gender:F
Credentials:CRNP
Other - Prefix:
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Mailing Address - Street 1:15635 LAPPINGTON RD
Mailing Address - Street 2:
Mailing Address - City:ATHENS
Mailing Address - State:AL
Mailing Address - Zip Code:35614-5158
Mailing Address - Country:US
Mailing Address - Phone:256-233-0712
Mailing Address - Fax:256-233-3535
Practice Address - Street 1:707 US HIGHWAY 31 S
Practice Address - Street 2:STE D
Practice Address - City:ATHENS
Practice Address - State:AL
Practice Address - Zip Code:35611-3619
Practice Address - Country:US
Practice Address - Phone:256-233-0712
Practice Address - Fax:256-233-3535
Is Sole Proprietor?:Yes
Enumeration Date:2011-08-01
Last Update Date:2011-08-01
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
AL1-116040363LP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPediatrics