Healthcare Provider Details

I. General information

NPI: 1902732860
Provider Name (Legal Business Name): NANCY RUTH RAGONA NP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/19/2026
Last Update Date: 06/19/2026
Certification Date: 06/19/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

210 LAYTON AVE STE 10
MONROE LA
71201-8548
US

IV. Provider business mailing address

210 LAYTON AVE STE 10
MONROE LA
71201-8548
US

V. Phone/Fax

Practice location:
  • Phone: 318-323-6405
  • Fax: 318-325-8232
Mailing address:
  • Phone: 318-323-6405
  • Fax: 318-325-8232

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License Number201775
License Number StateLA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: