Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Raegan Mavis

Individual provider Registered Nurse · NPI 1871372383

Raegan Mavis is a Registered Nurse in Greenup, Kentucky. Licensed in Kentucky. Registered with an NPI since 2023.

Licensed in
KY
In the registry since
2023
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Practice location Address checks out

57 Dora Ln
Greenup, KY 41144-1187
Phone: (866) 233-1955
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Registered Nurse (primary) Taxonomy 163W00000X · Licence 1175316 (KY)

Record details

NPI number1871372383
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedSeptember 25, 2023
Last updated in NPPESSeptember 25, 2023
Certification dateSeptember 25, 2023
Mailing addressPo Box 790, Ashland, KY 41105-0790

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