Healthcare Provider Details

I. General information

NPI: 1700724317
Provider Name (Legal Business Name): RICKI RAGLAND LPN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/24/2026
Last Update Date: 03/24/2026
Certification Date: 03/24/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

347 E 214TH ST
EUCLID OH
44123-1950
US

IV. Provider business mailing address

347 E 214TH ST
EUCLID OH
44123-1950
US

V. Phone/Fax

Practice location:
  • Phone: 216-965-5048
  • Fax:
Mailing address:
  • Phone: 216-965-5048
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code164X00000X
TaxonomyLicensed Vocational Nurse
License Number186798
License Number StateOH
# 2
Primary TaxonomyY
Taxonomy Code164W00000X
TaxonomyLicensed Practical Nurse
License Number186798
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: