Individual
MS. BETHANY JOY RAGEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BSN, RNC-NIC, NNP-BC
Contact information
Practice address
3300 GALLOWS RD, FALLS CHURCH, VA 22042-3307
(703) 776-6020
Mailing address
8516 OVERBROOK RD, FAIRFAX, VA 22031-2817
(703) 598-7005
Taxonomy
Speciality
Code
Description
License number
State
363LN0005X
Critical Care Neonatal Nurse Practitioner
Primary
0024177964
VA
Other
Enumeration date
07/31/2019
Last updated
04/13/2021
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