Individual
MARY KAY RAGAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNP
Contact information
Practice address
310 N. MAIN, TATUM, NM 88267
(575) 398-2111
(575) 396-1454
Mailing address
1600 NORTH MAIN, LOVINGTON, NM 88260-2830
(575) 396-6611
(575) 396-1454
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
AP129395
TX
Other
Enumeration date
11/20/2015
Last updated
02/06/2025
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