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NPI Code Detail

MEDICARE: MOIREEN JANICE RING NP

MEDICARE: MOIREEN JANICE RING NP
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363LP0808XPsychiatric/Mental Health Nurse Practitioner15040-33WI

General Provider Information

NPI Number : 1093570046
Entity Type Code : Individual
Provider Name (Legal Business Name) : MOIREEN JANICE RING NP
Provider Business Mailing Address
First Line : 511 MADISON AVE
Second Line :
City : FORT ATKINSON
State : WI
Zip : 53538-1444
Country : US
Telephone Number : 920-541-3078
Fax Number :
Provider Business Practice Location Address
First Line : 511 MADISON AVE
Second Line :
City : FORT ATKINSON
State : WI
Zip : 53538-1444
Country : US
Telephone Number : 920-541-3078
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/19/2024
Last Update Date : 02/19/2024

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