Provider Demographics
NPI:1336619196
Name:RAGER, NANCY KAY (LPN)
Entity Type:Individual
Prefix:
First Name:NANCY
Middle Name:KAY
Last Name:RAGER
Suffix:
Gender:F
Credentials:LPN
Other - Prefix:
Other - First Name:NANCY
Other - Middle Name:KAY
Other - Last Name:COSSI
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:19203 112TH ST E
Mailing Address - Street 2:
Mailing Address - City:BONNEY LAKE
Mailing Address - State:WA
Mailing Address - Zip Code:98391-8066
Mailing Address - Country:US
Mailing Address - Phone:253-433-1341
Mailing Address - Fax:
Practice Address - Street 1:35101 5TH AVE SW
Practice Address - Street 2:
Practice Address - City:FEDERAL WAY
Practice Address - State:WA
Practice Address - Zip Code:98023-8108
Practice Address - Country:US
Practice Address - Phone:253-433-1341
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-12-04
Last Update Date:2018-12-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3747A0650XNursing Service Related ProvidersTechnicianAttendant Care Provider