Healthcare Provider Details

I. General information

NPI: 1427599430
Provider Name (Legal Business Name): DENISE RAGEIS RN, PMHCNS-BC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/10/2017
Last Update Date: 02/01/2023
Certification Date: 10/21/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1021 OLD YORK RD STE 301
ABINGTON PA
19001-4626
US

IV. Provider business mailing address

1021 OLD YORK RD STE 301
ABINGTON PA
19001-4626
US

V. Phone/Fax

Practice location:
  • Phone: 215-395-8266
  • Fax: 215-754-0989
Mailing address:
  • Phone: 215-395-8266
  • Fax: 215-754-0989

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code364SP0809X
TaxonomyAdult Psychiatric/Mental Health Clinical Nurse Specialist
License NumberRN283499L
License Number StatePA
# 2
Primary TaxonomyY
Taxonomy Code364SP0809X
TaxonomyAdult Psychiatric/Mental Health Clinical Nurse Specialist
License NumberCNS000322
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: