Provider Demographics
NPI:1770819443
Name:LITTLE, SABRINA DANIELLE (LPN)
Entity Type:Individual
Prefix:MS
First Name:SABRINA
Middle Name:DANIELLE
Last Name:LITTLE
Suffix:
Gender:F
Credentials:LPN
Other - Prefix:
Other - First Name:SABRINA
Other - Middle Name:DANIELLE
Other - Last Name:RUTLEDGE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LPN
Mailing Address - Street 1:1650 IRMA AVE
Mailing Address - Street 2:
Mailing Address - City:HAMILTON
Mailing Address - State:OH
Mailing Address - Zip Code:45011-4454
Mailing Address - Country:US
Mailing Address - Phone:513-371-8242
Mailing Address - Fax:
Practice Address - Street 1:1650 IRMA AVE
Practice Address - Street 2:
Practice Address - City:HAMILTON
Practice Address - State:OH
Practice Address - Zip Code:45011-4454
Practice Address - Country:US
Practice Address - Phone:513-371-8242
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-10-30
Last Update Date:2009-10-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHPN107845164W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164W00000XNursing Service ProvidersLicensed Practical Nurse