Healthcare Provider Details

I. General information

NPI: 1679090914
Provider Name (Legal Business Name): NANCY C. RINKER M.ED CCC-A
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/28/2017
Last Update Date: 08/28/2017
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1825 W. PLAZA DR.
WINCHESTER VA
22601
US

IV. Provider business mailing address

1825 W. PLAZA DR.
WINCHESTER VA
22601
US

V. Phone/Fax

Practice location:
  • Phone: 540-667-7100
  • Fax: 540-667-3419
Mailing address:
  • Phone: 540-667-7100
  • Fax: 540-667-3419

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code237600000X
TaxonomyAudiologist-Hearing Aid Fitter
License Number2201000121
License Number StateVA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: