Provider Demographics
NPI:1265932974
Name:RAGAS, MELISSA (CNM)
Entity type:Individual
Prefix:
First Name:MELISSA
Middle Name:
Last Name:RAGAS
Suffix:
Gender:F
Credentials:CNM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:783 CLAIRE DR
Mailing Address - Street 2:
Mailing Address - City:MANDEVILLE
Mailing Address - State:LA
Mailing Address - Zip Code:70471-2880
Mailing Address - Country:US
Mailing Address - Phone:504-908-8999
Mailing Address - Fax:
Practice Address - Street 1:393 HIGHWAY 21 STE 525
Practice Address - Street 2:
Practice Address - City:MADISONVILLE
Practice Address - State:LA
Practice Address - Zip Code:70447-3444
Practice Address - Country:US
Practice Address - Phone:985-845-7121
Practice Address - Fax:985-206-9476
Is Sole Proprietor?:No
Enumeration Date:2018-02-19
Last Update Date:2023-07-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LAAP09653367A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes367A00000XPhysician Assistants & Advanced Practice Nursing ProvidersAdvanced Practice Midwife