Healthcare Provider Details

I. General information

NPI: 1114708062
Provider Name (Legal Business Name): KARYN SPRINKLE PMHNP-BC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/06/2023
Last Update Date: 03/31/2026
Certification Date: 03/31/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

44374 PALM ST
INDIO CA
92201-3117
US

IV. Provider business mailing address

47915 OASIS ST
INDIO CA
92201-6950
US

V. Phone/Fax

Practice location:
  • Phone: 760-342-6616
  • Fax: 760-347-8276
Mailing address:
  • Phone: 760-863-8600
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License Number699797
License Number StateCA
# 2
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number95036298
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: