National Provider Identifier

Michael R Ronald, RN FNP, RNFA

Michael R Ronald, RN FNP, RNFA is listed in the NPPES registry with a primary specialty of Emergency Medicine Physician in Ithaca, NY and a listed phone number of (607) 266-0073.

NPI 1871507905Ithaca, NYEmergency Medicine Physician

Profile Overview

NPI
1871507905
Provider Type
Individual
Primary Specialty
Emergency Medicine Physician
Enumeration Date
July 27, 2006
Last Updated
December 29, 2008

Practice Location

  • 10 Brentwood Dr
  • Suite B
  • Ithaca, NY 14850-1865

Phone: (607) 266-0073

Specialties

  • Emergency Medicine Physician (207P00000X)
  • Nurse Practitioner (363L00000X)
Full Record
NPI
1871507905
Entity Type
Individual
Last Name
Ronald
First Name
Michael
Middle Name
R
Credential
RN FNP, RNFA
Mailing Street Address
10 Brentwood Dr
Mailing Address Line 2
Suite B
Mailing City
Ithaca
Mailing State
NY
Mailing ZIP Code
14850-1865
Mailing Country
US
Mailing Phone
(607) 266-0073
Mailing Fax
(607) 266-9310
Practice Street Address
10 Brentwood Dr
Practice Address Line 2
Suite B
Practice City
Ithaca
Practice State
NY
Practice ZIP Code
14850-1865
Practice Country
US
Practice Phone
(607) 266-0073
Practice Fax
(607) 266-9310
Enumeration Date
July 27, 2006
Last Updated
December 29, 2008
Sex
Male
Sole Proprietor
No
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Emergency Medicine Physician (207P00000X), Nurse Practitioner (363L00000X)
Other Identifiers
02266791 (NY)