Provider Demographics
NPI:1124262613
Name:WHITTINGTON, SARAH SUSAN (ARNP)
Entity type:Individual
Prefix:MRS
First Name:SARAH
Middle Name:SUSAN
Last Name:WHITTINGTON
Suffix:
Gender:F
Credentials:ARNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:926 VETERANS DR
Mailing Address - Street 2:
Mailing Address - City:HANSON
Mailing Address - State:KY
Mailing Address - Zip Code:42413-9401
Mailing Address - Country:US
Mailing Address - Phone:270-322-9087
Mailing Address - Fax:270-322-9497
Practice Address - Street 1:926 VETERANS DR
Practice Address - Street 2:
Practice Address - City:HANSON
Practice Address - State:KY
Practice Address - Zip Code:42413-9401
Practice Address - Country:US
Practice Address - Phone:270-322-9087
Practice Address - Fax:270-322-9497
Is Sole Proprietor?:No
Enumeration Date:2009-04-28
Last Update Date:2009-04-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY2843P363LA2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health