Provider Demographics
NPI:1710690078
Name:SPRINKLE, AHMIYAH
Entity Type:Individual
Prefix:
First Name:AHMIYAH
Middle Name:
Last Name:SPRINKLE
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1110 BARRINGTON DR
Mailing Address - Street 2:
Mailing Address - City:FLINT
Mailing Address - State:MI
Mailing Address - Zip Code:48503-2949
Mailing Address - Country:US
Mailing Address - Phone:810-874-5111
Mailing Address - Fax:810-820-9000
Practice Address - Street 1:1110 BARRINGTON DR
Practice Address - Street 2:
Practice Address - City:FLINT
Practice Address - State:MI
Practice Address - Zip Code:48503-2949
Practice Address - Country:US
Practice Address - Phone:810-874-5111
Practice Address - Fax:810-820-9000
Is Sole Proprietor?:Yes
Enumeration Date:2023-01-03
Last Update Date:2023-01-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374J00000XNursing Service Related ProvidersDoula