Provider Demographics
NPI:1861467672
Name:MICHAEL, RALPH E (FNP-C)
Entity Type:Individual
Prefix:MR
First Name:RALPH
Middle Name:E
Last Name:MICHAEL
Suffix:
Gender:M
Credentials:FNP-C
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Other - First Name:
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Mailing Address - Street 1:197 NC HIGHWAY 42 N
Mailing Address - Street 2:STE B
Mailing Address - City:ASHEBORO
Mailing Address - State:NC
Mailing Address - Zip Code:27203-7968
Mailing Address - Country:US
Mailing Address - Phone:336-922-1102
Mailing Address - Fax:336-922-5012
Practice Address - Street 1:197 NC HIGHWAY 42 N
Practice Address - Street 2:STE B
Practice Address - City:ASHEBORO
Practice Address - State:NC
Practice Address - Zip Code:27203-7968
Practice Address - Country:US
Practice Address - Phone:336-625-2560
Practice Address - Fax:336-625-3152
Is Sole Proprietor?:No
Enumeration Date:2006-02-23
Last Update Date:2020-09-03
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NC201904363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC176F8OtherBCBS
NC7004247Medicaid
NCNCA386AMedicare PIN