Provider Demographics
NPI:1245323781
Name:RINGEL, SUSAN F (APRN FNP)
Entity type:Individual
Prefix:
First Name:SUSAN
Middle Name:F
Last Name:RINGEL
Suffix:
Gender:F
Credentials:APRN FNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2022 REGIONAL MEDICAL DR
Mailing Address - Street 2:SUITE 1319
Mailing Address - City:WHARTON
Mailing Address - State:TX
Mailing Address - Zip Code:77488-7227
Mailing Address - Country:US
Mailing Address - Phone:979-282-2786
Mailing Address - Fax:979-282-2830
Practice Address - Street 1:2022 REGIONAL MEDICAL DR
Practice Address - Street 2:SUITE 1319
Practice Address - City:WHARTON
Practice Address - State:TX
Practice Address - Zip Code:77488-7227
Practice Address - Country:US
Practice Address - Phone:979-282-2786
Practice Address - Fax:979-282-2830
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-02
Last Update Date:2015-02-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MSR869661363LF0000X
TX585949363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
MS02230774Medicaid
MS02230774Medicaid
TXTXB140753Medicare PIN
P73184Medicare UPIN
MS500001653Medicare ID - Type Unspecified