Healthcare Provider Details

I. General information

NPI: 1841064318
Provider Name (Legal Business Name): MERLYNN R. RAGSAC PMHNP-BC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 11/14/2023
Last Update Date: 05/01/2024
Certification Date: 05/01/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2775 S JONES BLVD STE 101
LAS VEGAS NV
89146-5632
US

IV. Provider business mailing address

6764 BROWNS BAY CT
LAS VEGAS NV
89149-5109
US

V. Phone/Fax

Practice location:
  • Phone: 702-685-3300
  • Fax:
Mailing address:
  • Phone: 760-670-6854
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number872845
License Number StateNV
# 2
Primary TaxonomyY
Taxonomy Code364SP0808X
TaxonomyPsychiatric/Mental Health Clinical Nurse Specialist
License Number872845
License Number StateNV

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: