Provider Demographics
NPI:1033959085
Name:PRINGLE, DONYELL MAURICE
Entity type:Individual
Prefix:
First Name:DONYELL
Middle Name:MAURICE
Last Name:PRINGLE
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1222 RUTLEDGE AVE APT 6
Mailing Address - Street 2:
Mailing Address - City:CINCINNATI
Mailing Address - State:OH
Mailing Address - Zip Code:45205-1562
Mailing Address - Country:US
Mailing Address - Phone:513-720-8750
Mailing Address - Fax:
Practice Address - Street 1:1222 RUTLEDGE AVE APT 6
Practice Address - Street 2:
Practice Address - City:CINCINNATI
Practice Address - State:OH
Practice Address - Zip Code:45205-1562
Practice Address - Country:US
Practice Address - Phone:513-720-8750
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-05-28
Last Update Date:2024-05-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes3747A0650XNursing Service Related ProvidersTechnicianAttendant Care ProviderGroup - Single Specialty