Provider Demographics
NPI:1437680600
Name:PRINGLE, BLAIR HOFFMAN (CRNP)
Entity Type:Individual
Prefix:
First Name:BLAIR
Middle Name:HOFFMAN
Last Name:PRINGLE
Suffix:
Gender:F
Credentials:CRNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:26179 CAPITAL DR STE A
Mailing Address - Street 2:
Mailing Address - City:DAPHNE
Mailing Address - State:AL
Mailing Address - Zip Code:36526-6195
Mailing Address - Country:US
Mailing Address - Phone:251-621-2844
Mailing Address - Fax:251-621-2845
Practice Address - Street 1:26179 CAPITOL DRIVE SUITE A
Practice Address - Street 2:
Practice Address - City:DAPHNE
Practice Address - State:AL
Practice Address - Zip Code:36526
Practice Address - Country:US
Practice Address - Phone:251-621-2844
Practice Address - Fax:251-621-2845
Is Sole Proprietor?:No
Enumeration Date:2017-03-21
Last Update Date:2017-03-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL1-141990363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner