Provider Demographics
NPI:1518043942
Name:COLLINS, SARAH ANN (CDA)
Entity Type:Individual
Prefix:MRS
First Name:SARAH
Middle Name:ANN
Last Name:COLLINS
Suffix:
Gender:F
Credentials:CDA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9500 BRONZEWOOD CT
Mailing Address - Street 2:
Mailing Address - City:MOBILE
Mailing Address - State:AL
Mailing Address - Zip Code:36608-9417
Mailing Address - Country:US
Mailing Address - Phone:251-776-7574
Mailing Address - Fax:
Practice Address - Street 1:COMMANDING OFFICER U.S. COAST GUARD AVIATION TRAINING
Practice Address - Street 2:8501 TANNER WILLIAMS RD.
Practice Address - City:MOBILE
Practice Address - State:AL
Practice Address - Zip Code:36608
Practice Address - Country:US
Practice Address - Phone:251-441-6404
Practice Address - Fax:251-441-6415
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-27
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes247200000XTechnologists, Technicians & Other Technical Service ProvidersTechnician, Other