Provider Demographics
NPI:1265854145
Name:LITTLE, SARA C (RMA)
Entity Type:Individual
Prefix:MS
First Name:SARA
Middle Name:C
Last Name:LITTLE
Suffix:
Gender:F
Credentials:RMA
Other - Prefix:MISS
Other - First Name:SARA
Other - Middle Name:C
Other - Last Name:LANDERS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:RMA
Mailing Address - Street 1:15676 N 113TH EAST AVE
Mailing Address - Street 2:
Mailing Address - City:COLLINSVILLE
Mailing Address - State:OK
Mailing Address - Zip Code:74021-4628
Mailing Address - Country:US
Mailing Address - Phone:918-527-5771
Mailing Address - Fax:
Practice Address - Street 1:15676 N 113TH EAST AVE
Practice Address - Street 2:
Practice Address - City:COLLINSVILLE
Practice Address - State:OK
Practice Address - Zip Code:74021-4628
Practice Address - Country:US
Practice Address - Phone:918-527-5771
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2014-01-13
Last Update Date:2014-01-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program