Individual
COURTENEY MICHELE RAGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
200 SCENERY DR, STATE COLLEGE, PA 16801-7974
(814) 231-4560
(814) 231-6246
Mailing address
100 N ACADEMY AVE, DANVILLE, PA 17822-4903
(570) 271-6144
(570) 271-6578
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
MA053076
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1077065
NCCPA CERFICATE
—
01
—
232809429
TRICARE
PA
01
—
50074719
CAPITAL BLUE CROSS
PA
01
—
CA5965
RAILROAD MEDICARE
PA
01
—
P00444525
RR MEDICARE PTAN
PA
Enumeration date
08/28/2007
Last updated
08/05/2020
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