Provider Demographics
NPI:1063092849
Name:PRINGLE, DANIELLE RAE (APRN-CNP)
Entity type:Individual
Prefix:
First Name:DANIELLE
Middle Name:RAE
Last Name:PRINGLE
Suffix:
Gender:
Credentials:APRN-CNP
Other - Prefix:
Other - First Name:DANIELLE
Other - Middle Name:RAE
Other - Last Name:FLETCHER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:APRN-CNP
Mailing Address - Street 1:PO BOX 35380
Mailing Address - Street 2:
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89133-5380
Mailing Address - Country:US
Mailing Address - Phone:702-579-3203
Mailing Address - Fax:
Practice Address - Street 1:2600 S DECATUR BLVD
Practice Address - Street 2:
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89102-8519
Practice Address - Country:US
Practice Address - Phone:702-877-5199
Practice Address - Fax:702-342-0858
Is Sole Proprietor?:No
Enumeration Date:2021-04-14
Last Update Date:2025-04-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NV839632363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner