Healthcare Provider Details

I. General information

NPI: 1124388970
Provider Name (Legal Business Name): CHERYLE BENITA RINGO RN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/25/2012
Last Update Date: 05/25/2012
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6604 ENGLISH OAK RD
BALTIMORE MD
21234-6770
US

IV. Provider business mailing address

6604 ENGLISH OAK RD
BALTIMORE MD
21234-6770
US

V. Phone/Fax

Practice location:
  • Phone: 443-469-9970
  • Fax:
Mailing address:
  • Phone: 443-469-9970
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WC0400X
TaxonomyCase Management Registered Nurse
License NumberRN1020193
License Number StateDC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: