Provider Demographics
NPI:1457409948
Name:PRINGLE, MARIA D (ARNP)
Entity Type:Individual
Prefix:
First Name:MARIA
Middle Name:D
Last Name:PRINGLE
Suffix:
Gender:F
Credentials:ARNP
Other - Prefix:
Other - First Name:MARIA
Other - Middle Name:DIANE
Other - Last Name:VANDYKE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:PO BOX 3014
Mailing Address - Street 2:1215 DUFF AVE MCFARLAND CLINIC PC
Mailing Address - City:AMES
Mailing Address - State:IA
Mailing Address - Zip Code:50010-3014
Mailing Address - Country:US
Mailing Address - Phone:515-239-4400
Mailing Address - Fax:515-239-4446
Practice Address - Street 1:2647 UNION DRIVE ISU THIELEN STUDENT HEALTH CENTER
Practice Address - Street 2:
Practice Address - City:AMES
Practice Address - State:IA
Practice Address - Zip Code:50011
Practice Address - Country:US
Practice Address - Phone:515-294-5801
Practice Address - Fax:515-294-5457
Is Sole Proprietor?:No
Enumeration Date:2007-01-08
Last Update Date:2018-07-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IAA079559363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
Provider Identifiers
StateIdentifier IDID TypeIssuer
IA1457409948Medicaid
IA71766OtherBCBS
IA71766OtherBCBS