Provider Demographics
NPI:1326163445
Name:PRINGLE, NINA ELIZABETH (RN)
Entity Type:Individual
Prefix:
First Name:NINA
Middle Name:ELIZABETH
Last Name:PRINGLE
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:BETSY
Other - Middle Name:
Other - Last Name:PRINGLE
Other - Suffix:III
Other - Last Name Type:Professional Name
Other - Credentials:
Mailing Address - Street 1:5000 HIGBEE AVE NW
Mailing Address - Street 2:
Mailing Address - City:CANTON
Mailing Address - State:OH
Mailing Address - Zip Code:44718-2522
Mailing Address - Country:US
Mailing Address - Phone:330-493-0313
Mailing Address - Fax:
Practice Address - Street 1:5000 HIGBEE AVE NW
Practice Address - Street 2:
Practice Address - City:CANTON
Practice Address - State:OH
Practice Address - Zip Code:44718-2522
Practice Address - Country:US
Practice Address - Phone:330-493-0313
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-03-20
Last Update Date:2008-05-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHRN118984363LW0102X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LW0102XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerWomen's Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
P27643Medicare UPIN