Provider Demographics
NPI:1356525554
Name:LITTLE, SARA ROGERS (RN)
Entity type:Individual
Prefix:MS
First Name:SARA
Middle Name:ROGERS
Last Name:LITTLE
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
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Mailing Address - Street 1:3645 EAST PIMA STREET
Mailing Address - Street 2:CATALINA MAGNET HIGH SCHOOL
Mailing Address - City:TUCSON
Mailing Address - State:AZ
Mailing Address - Zip Code:85712
Mailing Address - Country:US
Mailing Address - Phone:520-232-8417
Mailing Address - Fax:520-232-8401
Practice Address - Street 1:3645 EAST PIMA STREET
Practice Address - Street 2:CATALINA MAGNET HIGH SCHOOL
Practice Address - City:TUCSON
Practice Address - State:AZ
Practice Address - Zip Code:85712
Practice Address - Country:US
Practice Address - Phone:520-232-8417
Practice Address - Fax:520-232-8401
Is Sole Proprietor?:No
Enumeration Date:2007-12-24
Last Update Date:2007-12-24
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
AZ163WS0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WS0200XNursing Service ProvidersRegistered NurseSchool