Provider Demographics
NPI:1790712941
Name:RAGONE, MARGUERITE M (NP)
Entity Type:Individual
Prefix:MS
First Name:MARGUERITE
Middle Name:M
Last Name:RAGONE
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:10906 WILDER POINT LANE
Mailing Address - Street 2:
Mailing Address - City:RESTON
Mailing Address - State:VA
Mailing Address - Zip Code:20191-5008
Mailing Address - Country:US
Mailing Address - Phone:703-476-4792
Mailing Address - Fax:703-360-0263
Practice Address - Street 1:8101 HINSON FARM RD
Practice Address - Street 2:#219
Practice Address - City:ALEXANDRIA
Practice Address - State:VA
Practice Address - Zip Code:22306
Practice Address - Country:US
Practice Address - Phone:703-360-8383
Practice Address - Fax:703-360-0263
Is Sole Proprietor?:No
Enumeration Date:2006-06-26
Last Update Date:2023-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0017000386207RE0101X
VA363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered207RE0101XAllopathic & Osteopathic PhysiciansInternal MedicineEndocrinology, Diabetes & Metabolism
Not Answered363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
Provider Identifiers
StateIdentifier IDID TypeIssuer
MR0794809OtherDEA
MR0794809OtherDEA