Provider Demographics
NPI:1992841605
Name:RAGLAND, SHIRLEY ELIZABETH (RN)
Entity Type:Individual
Prefix:MS
First Name:SHIRLEY
Middle Name:ELIZABETH
Last Name:RAGLAND
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5810 W HELENA ST
Mailing Address - Street 2:
Mailing Address - City:MILWAUKEE
Mailing Address - State:WI
Mailing Address - Zip Code:53223-5245
Mailing Address - Country:US
Mailing Address - Phone:414-760-1535
Mailing Address - Fax:
Practice Address - Street 1:4253 N 48TH ST
Practice Address - Street 2:
Practice Address - City:MILWAUKEE
Practice Address - State:WI
Practice Address - Zip Code:53216-1433
Practice Address - Country:US
Practice Address - Phone:414-248-7418
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-29
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI163WH0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WH0200XNursing Service ProvidersRegistered NurseHome Health