Provider Demographics
NPI:1740491620
Name:CRAFT, SARAH JOI (PA)
Entity type:Individual
Prefix:
First Name:SARAH
Middle Name:JOI
Last Name:CRAFT
Suffix:
Gender:F
Credentials:PA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3225 TIMBER FALL CT
Mailing Address - Street 2:STE B
Mailing Address - City:EUREKA
Mailing Address - State:CA
Mailing Address - Zip Code:95503-4892
Mailing Address - Country:US
Mailing Address - Phone:707-442-5700
Mailing Address - Fax:707-441-1000
Practice Address - Street 1:3225 TIMBER FALL CT
Practice Address - Street 2:STE B
Practice Address - City:EUREKA
Practice Address - State:CA
Practice Address - Zip Code:95503-4892
Practice Address - Country:US
Practice Address - Phone:707-442-5700
Practice Address - Fax:707-441-1000
Is Sole Proprietor?:No
Enumeration Date:2007-05-24
Last Update Date:2016-05-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ORPA01413363AM0700X
CAPA18737363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant
No363AM0700XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantMedical