Provider Demographics
NPI:1306246467
Name:PRINGLE, ALBERT (RN)
Entity type:Individual
Prefix:
First Name:ALBERT
Middle Name:
Last Name:PRINGLE
Suffix:
Gender:M
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:13612 ROCKLEDGE DR
Mailing Address - Street 2:
Mailing Address - City:VICTORVILLE
Mailing Address - State:CA
Mailing Address - Zip Code:92392-8796
Mailing Address - Country:US
Mailing Address - Phone:760-686-3340
Mailing Address - Fax:
Practice Address - Street 1:13612 ROCKLEDGE DR
Practice Address - Street 2:
Practice Address - City:VICTORVILLE
Practice Address - State:CA
Practice Address - Zip Code:92392-8796
Practice Address - Country:US
Practice Address - Phone:760-686-3340
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2014-08-26
Last Update Date:2014-08-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA784492163WC0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WC0400XNursing Service ProvidersRegistered NurseCase Management