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Ms. Colleen Susanne Cushing Ragon, APN,CNS
Family Nurse Practitioner in Peoria, Illinois
NPI 1073804217

Colleen Susanne Cushing Ragon is a Family Nurse Practitioner based in Peoria, IL and is specialized in Family. Colleen Susanne Cushing Ragon practices in Peoria, IL and has the professional credentials of APN,CNS. The NPI Number for Colleen Susanne Cushing Ragon is 1073804217 and holds a License No. 209.008764 (Illinois).

The current practice location address for Colleen Susanne Cushing Ragon is 8940 N Wood Sage Rd, Peoria, IL and can be reached out via phone at 309-243-3000 and via fax at 309-243-3274.

Location: 8940 N Wood Sage Rd, Peoria, IL, 61615-7822
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Provider Profile Details
NPI Number
1073804217
Provider Name
Colleen Susanne Cushing Ragon
Credential
APN,CNS
Provider Entity Type
Individual
Gender
Female
Address
8940 N Wood Sage Rd, Peoria, IL, 61615-7822
Phone Number
309-243-3000
Fax Number
309-243-3274
Provider Enumeration Date
04/21/2011
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
209.013583 01 IL LICENSE
institution
Provider Business Practice Location Address Details
Address
8940 N Wood Sage Rd
City
State
Zip
61615-7822
Phone Number
309-243-3000
Fax Number
309-243-3274
person
Provider Business Mailing Address Details
Address
8940 N Wood Sage Rd
City
State
Zip
61615-7822
Phone Number
309-243-3000
Fax Number
309-243-3274
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
License No.
209.013583 (Illinois)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Clinical Nurse Specialist
Speciality
Adult Health
Taxonomy
License No.
209.008764 (Illinois)
Definition
Definition to come...
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