Provider Demographics
NPI:1528396637
Name:FLINT, AAISHA D (RN)
Entity type:Individual
Prefix:
First Name:AAISHA
Middle Name:D
Last Name:FLINT
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:117 IVERSON PL
Mailing Address - Street 2:
Mailing Address - City:TEMPLE
Mailing Address - State:GA
Mailing Address - Zip Code:30179-3751
Mailing Address - Country:US
Mailing Address - Phone:414-659-5846
Mailing Address - Fax:
Practice Address - Street 1:117 IVERSON PL
Practice Address - Street 2:
Practice Address - City:TEMPLE
Practice Address - State:GA
Practice Address - Zip Code:30179-3751
Practice Address - Country:US
Practice Address - Phone:414-659-5846
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-12-01
Last Update Date:2024-11-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GARN194708163WH0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WH0200XNursing Service ProvidersRegistered NurseHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
WI38224400OtherFORWARD HEALTH