Provider Demographics
NPI:1427381458
Name:PRINGLE, AMY SUE (LPN)
Entity Type:Individual
Prefix:MISS
First Name:AMY
Middle Name:SUE
Last Name:PRINGLE
Suffix:
Gender:F
Credentials:LPN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:28 SUGAR TREE CIR
Mailing Address - Street 2:
Mailing Address - City:BROCKPORT
Mailing Address - State:NY
Mailing Address - Zip Code:14420-1405
Mailing Address - Country:US
Mailing Address - Phone:585-469-0024
Mailing Address - Fax:
Practice Address - Street 1:28 SUGAR TREE CIR
Practice Address - Street 2:
Practice Address - City:BROCKPORT
Practice Address - State:NY
Practice Address - Zip Code:14420-1405
Practice Address - Country:US
Practice Address - Phone:585-469-0024
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-09-09
Last Update Date:2009-09-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY292740164W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164W00000XNursing Service ProvidersLicensed Practical Nurse