Provider Demographics
NPI:1013430750
Name:RING, JUDITH ANN (LPN, CNC)
Entity Type:Individual
Prefix:
First Name:JUDITH
Middle Name:ANN
Last Name:RING
Suffix:
Gender:F
Credentials:LPN, CNC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1003 W 9TH AVE STE E
Mailing Address - Street 2:
Mailing Address - City:KING OF PRUSSIA
Mailing Address - State:PA
Mailing Address - Zip Code:19406-1210
Mailing Address - Country:US
Mailing Address - Phone:610-930-3796
Mailing Address - Fax:800-687-3161
Practice Address - Street 1:1003 W 9TH AVE STE E
Practice Address - Street 2:
Practice Address - City:KING OF PRUSSIA
Practice Address - State:PA
Practice Address - Zip Code:19406-1210
Practice Address - Country:US
Practice Address - Phone:610-930-3796
Practice Address - Fax:800-687-3161
Is Sole Proprietor?:Yes
Enumeration Date:2017-07-25
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PA133NN1002X
PAPN253618L164W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164W00000XNursing Service ProvidersLicensed Practical Nurse
No133NN1002XDietary & Nutritional Service ProvidersNutritionistNutrition, Education