Provider Demographics
NPI:1619268091
Name:RING, NELL A (CFM)
Entity Type:Individual
Prefix:MRS
First Name:NELL
Middle Name:A
Last Name:RING
Suffix:
Gender:F
Credentials:CFM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3302 BRIDGES ST
Mailing Address - Street 2:SUITE C
Mailing Address - City:MOREHEAD CITY
Mailing Address - State:NC
Mailing Address - Zip Code:28557-2983
Mailing Address - Country:US
Mailing Address - Phone:252-726-3557
Mailing Address - Fax:252-726-4227
Practice Address - Street 1:3302 BRIDGES ST
Practice Address - Street 2:SUITE C
Practice Address - City:MOREHEAD CITY
Practice Address - State:NC
Practice Address - Zip Code:28557-2983
Practice Address - Country:US
Practice Address - Phone:252-726-3557
Practice Address - Fax:252-726-4227
Is Sole Proprietor?:No
Enumeration Date:2011-04-20
Last Update Date:2011-04-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC224900000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes224900000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMastectomy Fitter
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC7795077Medicaid