MIA RAGSDALE-AVILA NP NPI 1083104426

NPI Information

NPI: 1083104426
Provider Name: MIA RAGSDALE-AVILA, NP
Classification: Nurse Practitioner - 363LP0808X
Entity Type: Individual

Specialization: Psychiatric/Mental Health

PECOS Registration: Yes

Address:
307 W COTA ST
SHELTON, WA
ZIP 98584
Phone: (360) 205-8001
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Mia Ragsdale-avila, NP is a psychiatric/mental health nurse practitioner in Shelton, WA. Mia Ragsdale-avila, NP NPI is 1083104426. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

307 W COTA ST
SHELTON, WA
ZIP 98584-265
Phone: (360) 205-8001

The NPI 1083104426 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Power Mobility Devices.

The enumeration date for this NPI number is 5/11/2018 and was last updated on 10/17/2023.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363LP0808X	Nurse Practitioner	Psychiatric/Mental Health	95006729	CALIFORNIA	Yes
2	363LP0808X	Nurse Practitioner	Psychiatric/Mental Health	AP61069136	WASHINGTON	No

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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