Individual
SARA J. SCRAPE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
N.P.
Contact information
Practice address
9 WILLOW BEND DR, HATTIESBURG, MS 39402-8552
(601) 296-2552
(601) 296-2554
Mailing address
9 WILLOW BEND DR, HATTIESBURG, MS 39402-8552
(601) 296-2552
(601) 296-2554
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
R718025
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
04385071
—
MS
01
—
1180663
CIGNA
MS
05
—
2113445
—
LA
01
—
P00791975
RAILROAD MEDICARE
MS
Enumeration date
05/12/2006
Last updated
04/27/2011
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