Provider Demographics
NPI:1417192337
Name:RING, MARY MICHELLE (RD, LMNT)
Entity Type:Individual
Prefix:
First Name:MARY
Middle Name:MICHELLE
Last Name:RING
Suffix:
Gender:F
Credentials:RD, LMNT
Other - Prefix:
Other - First Name:MARY
Other - Middle Name:MICHELLE
Other - Last Name:NASLUND
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:RD, LMNT
Mailing Address - Street 1:7100 W CENTER RD
Mailing Address - Street 2:
Mailing Address - City:OMAHA
Mailing Address - State:NE
Mailing Address - Zip Code:68106-2700
Mailing Address - Country:US
Mailing Address - Phone:402-506-9000
Mailing Address - Fax:
Practice Address - Street 1:7100 W CENTER RD
Practice Address - Street 2:
Practice Address - City:OMAHA
Practice Address - State:NE
Practice Address - Zip Code:68106-2700
Practice Address - Country:US
Practice Address - Phone:402-506-9000
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-12-05
Last Update Date:2016-06-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE845133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered