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Individual

ALYSSA RAGSDALE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PMHNP

Contact information

Practice address
14 GREAT PLAINS RD, ARAPAHOE, WY 82510
(307) 856-9281
Mailing address
PO BOX 70, LAME DEER, MT 59043-0070
(406) 477-4448

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
49370
MT
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
173267
MT

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
2210017
MT
Enumeration date
11/08/2013
Last updated
08/10/2021
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