Provider Demographics
NPI:1992724264
Name:RING, MARCIA ELLEN (PHD, ARNP)
Entity type:Individual
Prefix:
First Name:MARCIA
Middle Name:ELLEN
Last Name:RING
Suffix:
Gender:F
Credentials:PHD, ARNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:510 OXFORD WAY
Mailing Address - Street 2:
Mailing Address - City:MARTINSBURG
Mailing Address - State:WV
Mailing Address - Zip Code:25405-2412
Mailing Address - Country:US
Mailing Address - Phone:641-863-0774
Mailing Address - Fax:
Practice Address - Street 1:510 OXFORD WAY
Practice Address - Street 2:
Practice Address - City:MARTINSBURG
Practice Address - State:WV
Practice Address - Zip Code:25405-2412
Practice Address - Country:US
Practice Address - Phone:641-863-0774
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-18
Last Update Date:2024-01-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WV105524364SP0809X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes364SP0809XPhysician Assistants & Advanced Practice Nursing ProvidersClinical Nurse SpecialistPsychiatric/Mental Health, Adult
Provider Identifiers
StateIdentifier IDID TypeIssuer
VT1009921Medicaid
NS 2031Medicare ID - Type Unspecified
P96673Medicare UPIN