Basic Information
Provider Information
NPI: 1194386169
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: RINGLE
FirstName: ALLISON
MiddleName: P
NamePrefix:  
NameSuffix:  
Credential: MSN, NP-C
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 24 HYDE ST
Address2:  
City: WAKEMAN
State: OH
PostalCode: 448899301
CountryCode: US
TelephoneNumber: 4408392226
FaxNumber: 4408391339
Practice Location
Address1: 24 HYDE ST
Address2:  
City: WAKEMAN
State: OH
PostalCode: 448899301
CountryCode: US
TelephoneNumber: 4408392226
FaxNumber: 4408391339
Other Information
ProviderEnumerationDate: 06/21/2019
LastUpdateDate: 06/21/2019
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
363LF0000XAPRN.CNP.024909OHY Physician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily

No ID Information.


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