Provider Demographics
NPI:1013498898
Name:SAIN, SASHA LYNN
Entity Type:Individual
Prefix:
First Name:SASHA
Middle Name:LYNN
Last Name:SAIN
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4131 HIGHWAY 71
Mailing Address - Street 2:
Mailing Address - City:LOCKESBURG
Mailing Address - State:AR
Mailing Address - Zip Code:71846-9417
Mailing Address - Country:US
Mailing Address - Phone:870-289-2171
Mailing Address - Fax:
Practice Address - Street 1:4131 HIGHWAY 71
Practice Address - Street 2:
Practice Address - City:LOCKESBURG
Practice Address - State:AR
Practice Address - Zip Code:71846-9417
Practice Address - Country:US
Practice Address - Phone:870-289-2171
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-08-28
Last Update Date:2018-08-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ARR089213163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse