=====================================================
General NPI Number Information
=====================================================
NPI Number | 1255059812
-----------------------------------------------------
Entity Type | Individual
-----------------------------------------------------
Provider Name | SHARNICE RAGLAND NP
-----------------------------------------------------
Gender | Female
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 08/19/2022
-----------------------------------------------------
Last Update Date | 01/28/2026
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 2575 MCLEOD DR N
-----------------------------------------------------
City | SAGINAW
-----------------------------------------------------
State | MI
-----------------------------------------------------
Zip | 48604-2857
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 989-797-5532
-----------------------------------------------------
Fax | 989-372-1930
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 2575 MCLEOD DR N
-----------------------------------------------------
City | SAGINAW
-----------------------------------------------------
State | MI
-----------------------------------------------------
Zip | 48604-2857
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 989-797-5532
-----------------------------------------------------
Fax | 989-797-5537
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position |
-----------------------------------------------------
Name |
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone |
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 363LA2200X
-----------------------------------------------------
Taxonomy Name | Adult Health Nurse Practitioner
-----------------------------------------------------
License Number | 4704315230
-----------------------------------------------------
License Number State | MI
-----------------------------------------------------
Taxonomy #2
-----------------------------------------------------
Taxonomy Code | 363LG0600X
-----------------------------------------------------
Taxonomy Name | Gerontology Nurse Practitioner
-----------------------------------------------------
License Number | 4704315230
-----------------------------------------------------
License Number State | MI
-----------------------------------------------------
Taxonomy #3
-----------------------------------------------------
Taxonomy Code | 363LP2300X
-----------------------------------------------------
Taxonomy Name | Primary Care Nurse Practitioner
-----------------------------------------------------
License Number | 4704315230
-----------------------------------------------------
License Number State | MI
-----------------------------------------------------