Healthcare Provider Details

I. General information

NPI: 1689415754
Provider Name (Legal Business Name): MICHAEL RAMMEL PMHNP-BC
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/03/2024
Last Update Date: 09/02/2026
Certification Date: 09/02/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1781 TATE BLVD SE STE 202
HICKORY NC
28602-4252
US

IV. Provider business mailing address

1781 TATE BLVD SE STE 202
HICKORY NC
28602-4252
US

V. Phone/Fax

Practice location:
  • Phone: 828-758-1320
  • Fax:
Mailing address:
  • Phone: 828-758-1320
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number0036516
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: