Provider Demographics
NPI:1386239051
Name:VIRGINIA RAGONESE-GREEN, PMHNP-BC
Entity type:Organization
Organization Name:VIRGINIA RAGONESE-GREEN, PMHNP-BC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:BILLING
Authorized Official - Prefix:
Authorized Official - First Name:MARIA
Authorized Official - Middle Name:
Authorized Official - Last Name:MATTHEWS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:520-372-8575
Mailing Address - Street 1:3814 E 5TH ST
Mailing Address - Street 2:
Mailing Address - City:TUCSON
Mailing Address - State:AZ
Mailing Address - Zip Code:85716-5145
Mailing Address - Country:US
Mailing Address - Phone:520-372-8575
Mailing Address - Fax:520-372-8576
Practice Address - Street 1:3814 E 5TH ST
Practice Address - Street 2:
Practice Address - City:TUCSON
Practice Address - State:AZ
Practice Address - Zip Code:85716-5145
Practice Address - Country:US
Practice Address - Phone:520-372-8575
Practice Address - Fax:520-372-8576
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-03-04
Last Update Date:2021-04-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental HealthGroup - Single Specialty