Healthcare Provider Details

I. General information

NPI: 1508788902
Provider Name (Legal Business Name): CORIN RING
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/28/2026
Last Update Date: 07/28/2026
Certification Date: 07/28/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1457 WHITE OAK DR
CHASKA MN
55318-2525
US

IV. Provider business mailing address

1457 WHITE OAK DR
CHASKA MN
55318-2525
US

V. Phone/Fax

Practice location:
  • Phone: 952-368-3800
  • Fax: 952-368-3801
Mailing address:
  • Phone: 952-368-3800
  • Fax: 952-368-3801

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number14532
License Number StateMN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: