Provider Demographics
NPI:1730287244
Name:KARRAKER, SABRINA A (APRN)
Entity Type:Individual
Prefix:
First Name:SABRINA
Middle Name:A
Last Name:KARRAKER
Suffix:
Gender:F
Credentials:APRN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:300 S 8TH ST
Mailing Address - Street 2:SUITE 480W
Mailing Address - City:MURRAY
Mailing Address - State:KY
Mailing Address - Zip Code:42071-2400
Mailing Address - Country:US
Mailing Address - Phone:270-761-5756
Mailing Address - Fax:270-752-2856
Practice Address - Street 1:300 S 8TH ST
Practice Address - Street 2:SUITE 284W
Practice Address - City:MURRAY
Practice Address - State:KY
Practice Address - Zip Code:42071-2400
Practice Address - Country:US
Practice Address - Phone:270-761-5756
Practice Address - Fax:270-752-2856
Is Sole Proprietor?:No
Enumeration Date:2006-09-20
Last Update Date:2016-02-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY3002208363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
KY7100177620Medicaid
KY7100177620Medicaid