Provider Demographics
NPI:1255956025
Name:ELLRINGER, MEREDITH G (CPT, MA-P)
Entity type:Individual
Prefix:
First Name:MEREDITH
Middle Name:G
Last Name:ELLRINGER
Suffix:
Gender:F
Credentials:CPT, MA-P
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4956 NW DISCOVERY RIDGE CT
Mailing Address - Street 2:
Mailing Address - City:SILVERDALE
Mailing Address - State:WA
Mailing Address - Zip Code:98383-8834
Mailing Address - Country:US
Mailing Address - Phone:360-473-6711
Mailing Address - Fax:
Practice Address - Street 1:4956 NW DISCOVERY RIDGE CT
Practice Address - Street 2:
Practice Address - City:SILVERDALE
Practice Address - State:WA
Practice Address - Zip Code:98383-8834
Practice Address - Country:US
Practice Address - Phone:360-473-6711
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-06-08
Last Update Date:2020-06-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes246RP1900XTechnologists, Technicians & Other Technical Service ProvidersTechnician, PathologyPhlebotomy