Provider Demographics
NPI:1194425173
Name:PRINGLE, ASHLEE NICOLE
Entity type:Individual
Prefix:MS
First Name:ASHLEE
Middle Name:NICOLE
Last Name:PRINGLE
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5406 CALAVETTI CT
Mailing Address - Street 2:
Mailing Address - City:NORTH CHESTERFIELD
Mailing Address - State:VA
Mailing Address - Zip Code:23234-4184
Mailing Address - Country:US
Mailing Address - Phone:804-389-6178
Mailing Address - Fax:
Practice Address - Street 1:5406 CALAVETTI CT
Practice Address - Street 2:
Practice Address - City:NORTH CHESTERFIELD
Practice Address - State:VA
Practice Address - Zip Code:23234-4184
Practice Address - Country:US
Practice Address - Phone:804-389-6178
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-03-07
Last Update Date:2023-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA6944-08-011251S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health