Healthcare Provider Details

I. General information

NPI: 1770879686
Provider Name (Legal Business Name): ALANA DORSEY PRINGLE D.O.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/20/2011
Last Update Date: 04/07/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

13347 WARWICK BLVD
NEWPORT NEWS VA
23602-5601
US

IV. Provider business mailing address

860 OMNI BLVD SUITE 303
NEWPORT NEWS VA
23606-4430
US

V. Phone/Fax

Practice location:
  • Phone: 757-877-0214
  • Fax: 757-875-0524
Mailing address:
  • Phone: 757-232-8769
  • Fax: 757-232-8875

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number0116023932
License Number StateVA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: