MEDICARE: YAWANA AMOREASE RAGIN WHNP-BC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363LW0102X	Women's Health Nurse Practitioner	65016	NM
2	163W00000X	Registered Nurse	65016	NM

General Provider Information

NPI Number	:	1861363608
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	YAWANA AMOREASE RAGIN WHNP-BC

Provider Business Mailing Address
First Line	:	6915 PAESE PL NW
Second Line	:
City	:	ALBUQUERQUE
State	:	NM
Zip	:	87114-5192
Country	:	US
Telephone Number	:	505-264-2584
Fax Number	:

Provider Business Practice Location Address
First Line	:	6915 PAESE PL NW
Second Line	:
City	:	ALBUQUERQUE
State	:	NM
Zip	:	87114-5192
Country	:	US
Telephone Number	:	505-264-2584
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/15/2025
Last Update Date	:	02/11/2026

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