Healthcare Provider Details

I. General information

NPI: 1821006693
Provider Name (Legal Business Name): SUSAN PARRIS BINGER RN, BSN, MHA
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/04/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

159 NORTH ST
ASHEBORO NC
27203-5411
US

IV. Provider business mailing address

159 NORTH ST
ASHEBORO NC
27203-5411
US

V. Phone/Fax

Practice location:
  • Phone: 336-625-2161
  • Fax: 336-217-8268
Mailing address:
  • Phone: 336-625-2161
  • Fax: 336-217-8268

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WX0106X
TaxonomyOccupational Health Registered Nurse
License Number149001
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: