Provider Demographics
NPI:1770822082
Name:LEVY, SPRINYA LATRICE
Entity type:Individual
Prefix:
First Name:SPRINYA
Middle Name:LATRICE
Last Name:LEVY
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 1:5538 GRASMERE AVE
Mailing Address - Street 2:
Mailing Address - City:MAPLE HEIGHTS
Mailing Address - State:OH
Mailing Address - Zip Code:44137-3442
Mailing Address - Country:US
Mailing Address - Phone:216-203-2290
Mailing Address - Fax:
Practice Address - Street 1:5538 GRASMERE AVE
Practice Address - Street 2:
Practice Address - City:MAPLE HEIGHTS
Practice Address - State:OH
Practice Address - Zip Code:44137-3442
Practice Address - Country:US
Practice Address - Phone:216-203-2290
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-02-06
Last Update Date:2013-02-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes376K00000XNursing Service Related ProvidersNurse's Aide