Provider Demographics
NPI:1992799084
Name:PRINGLE, SILEEN ANN (MSN ARNP ANPC GNP BC)
Entity type:Individual
Prefix:
First Name:SILEEN
Middle Name:ANN
Last Name:PRINGLE
Suffix:
Gender:F
Credentials:MSN ARNP ANPC GNP BC
Other - Prefix:
Other - First Name:SILEEN
Other - Middle Name:ANN
Other - Last Name:HESTON
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:ARNP
Mailing Address - Street 1:2700 MOUNT PLEASANT ST STE 32B
Mailing Address - Street 2:
Mailing Address - City:BURLINGTON
Mailing Address - State:IA
Mailing Address - Zip Code:52601-2182
Mailing Address - Country:US
Mailing Address - Phone:319-752-8234
Mailing Address - Fax:319-752-8244
Practice Address - Street 1:2700 MOUNT PLEASANT ST STE 32B
Practice Address - Street 2:
Practice Address - City:BURLINGTON
Practice Address - State:IA
Practice Address - Zip Code:52601-2182
Practice Address - Country:US
Practice Address - Phone:319-752-8234
Practice Address - Fax:319-752-8244
Is Sole Proprietor?:No
Enumeration Date:2005-09-06
Last Update Date:2011-09-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IA100715163W00000X
IAH100715363LA2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health
No163W00000XNursing Service ProvidersRegistered Nurse
Provider Identifiers
StateIdentifier IDID TypeIssuer
P87520Medicare UPIN