Provider Demographics
NPI:1619083466
Name:PINGEL, CHRISTINE G (RNP)
Entity Type:Individual
Prefix:MRS
First Name:CHRISTINE
Middle Name:G
Last Name:PINGEL
Suffix:
Gender:F
Credentials:RNP
Other - Prefix:MRS
Other - First Name:CHRIS
Other - Middle Name:G
Other - Last Name:PINGEL
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:RNP
Mailing Address - Street 1:76 MAYFAIR DR
Mailing Address - Street 2:
Mailing Address - City:BELLA VISTA
Mailing Address - State:AR
Mailing Address - Zip Code:72715-5390
Mailing Address - Country:US
Mailing Address - Phone:479-855-2037
Mailing Address - Fax:
Practice Address - Street 1:525 N GARLAND AVE
Practice Address - Street 2:
Practice Address - City:FAYETTEVILLE
Practice Address - State:AR
Practice Address - Zip Code:72701-3110
Practice Address - Country:US
Practice Address - Phone:479-575-4478
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-08-22
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ARPO1559363LW0102X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LW0102XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerWomen's Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
ARR34615OtherRN NUMBER
ARPO1559OtherRNP NUMBER