Provider Demographics
NPI:1700416385
Name:SASINE, KATRINA FREEMAN (MSN, APRN, FNP-C)
Entity Type:Individual
Prefix:MRS
First Name:KATRINA
Middle Name:FREEMAN
Last Name:SASINE
Suffix:
Gender:F
Credentials:MSN, APRN, FNP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 2876
Mailing Address - Street 2:
Mailing Address - City:MOULTRIE
Mailing Address - State:GA
Mailing Address - Zip Code:31776-2876
Mailing Address - Country:US
Mailing Address - Phone:229-891-9131
Mailing Address - Fax:
Practice Address - Street 1:139 E BROAD
Practice Address - Street 2:
Practice Address - City:NORMAN PARK
Practice Address - State:GA
Practice Address - Zip Code:31771-5085
Practice Address - Country:US
Practice Address - Phone:229-769-3500
Practice Address - Fax:229-769-3501
Is Sole Proprietor?:Yes
Enumeration Date:2020-01-22
Last Update Date:2023-07-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLAPRN11005831363LF0000X
GARN141634363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily