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Individual
STACEY L RATIGAN
Active
Individual
STACEY L RATIGAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Taxonomy
Speciality
Code
Description
License number
State
173000000X
Legal Medicine
0024164317
VA
363LF0000X
Family Nurse Practitioner
Primary
0024164317
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
007789203
—
VA
05
—
1871599464
—
VA
01
—
VVH182C
MEDICARE
VA
Enumeration date
06/28/2005
Last updated
12/08/2020
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