Provider Demographics
NPI:1295012045
Name:CRIPPEN, SARA B (BSED)
Entity Type:Individual
Prefix:MRS
First Name:SARA
Middle Name:B
Last Name:CRIPPEN
Suffix:
Gender:F
Credentials:BSED
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4316 CHEROKEE TRL
Mailing Address - Street 2:
Mailing Address - City:GAINESVILLE
Mailing Address - State:GA
Mailing Address - Zip Code:30504-5305
Mailing Address - Country:US
Mailing Address - Phone:678-427-8470
Mailing Address - Fax:
Practice Address - Street 1:4316 CHEROKEE TRL
Practice Address - Street 2:
Practice Address - City:GAINESVILLE
Practice Address - State:GA
Practice Address - Zip Code:30504-5305
Practice Address - Country:US
Practice Address - Phone:678-427-8470
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-11-08
Last Update Date:2011-11-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator