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Individual

MRS. RAEGAN MCCORKLE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
FNP

Contact information

Practice address
1815 E LAKE MEAD BLVD STE 215, NORTH LAS VEGAS, NV 89030-7190
(702) 818-1919
(702) 399-5499
Mailing address
1815 E LAKE MEAD BLVD STE 215, NORTH LAS VEGAS, NV 89030-7190
(702) 818-1919
(702) 399-5499

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
852529
NV
363LF0000X
Family Nurse Practitioner
Primary
852529
NV

Other

Enumeration date
04/04/2022
Last updated
08/13/2025
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