Most Relevant Information
Provider Data
| NPI Number: | 1003557273 |
| Provider Name: | RAEGAN MCCORKLE FNP |
| Entity Type: | Individual |
| Taxonomy Code: | 207Q00000X |
| Specialty: | Family Medicine |
| License Number: | 852529 |
Most Important Dates
| Enumeration Date: | 04/04/2022 |
| Last Updated: | 04/04/2022 |
Provider Practice Location
3248 TIMORASSO AVE
HENDERSON
NV
890441823
Practice Location Phone/Fax
| Phone: | 2199028309 |
| Fax: |
Provider Mailing Location
3248 TIMORASSO AVE
HENDERSON
NV
890441823
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |
Suggested EMR
Family Practice EMR