Provider Demographics
NPI:1467675959
Name:PINGREY, ANNE LOUISE (APRN BC)
Entity Type:Individual
Prefix:MRS
First Name:ANNE
Middle Name:LOUISE
Last Name:PINGREY
Suffix:
Gender:F
Credentials:APRN BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 3910
Mailing Address - Street 2:
Mailing Address - City:FREDERICKSBURG
Mailing Address - State:VA
Mailing Address - Zip Code:22402-3910
Mailing Address - Country:US
Mailing Address - Phone:540-785-9900
Mailing Address - Fax:540-785-9960
Practice Address - Street 1:1075 GARRISONVILLE RD
Practice Address - Street 2:SUITE 115
Practice Address - City:STAFFORD
Practice Address - State:VA
Practice Address - Zip Code:22556-8600
Practice Address - Country:US
Practice Address - Phone:540-785-9900
Practice Address - Fax:540-785-9960
Is Sole Proprietor?:No
Enumeration Date:2007-04-11
Last Update Date:2008-09-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0017138358363LA2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
P14945Medicare UPIN