Provider Demographics
NPI:1750130761
Name:PRINGLES, ANA B (MS)
Entity type:Individual
Prefix:MS
First Name:ANA
Middle Name:B
Last Name:PRINGLES
Suffix:
Gender:F
Credentials:MS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4505 COLONIAL PLACE DR
Mailing Address - Street 2:
Mailing Address - City:ROANOKE
Mailing Address - State:VA
Mailing Address - Zip Code:24018-3939
Mailing Address - Country:US
Mailing Address - Phone:323-868-2460
Mailing Address - Fax:
Practice Address - Street 1:4505 COLONIAL PLACE DR
Practice Address - Street 2:
Practice Address - City:ROANOKE
Practice Address - State:VA
Practice Address - Zip Code:24018-3939
Practice Address - Country:US
Practice Address - Phone:323-868-2460
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-05-14
Last Update Date:2024-05-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA2202011015235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist