Provider Demographics
NPI:1679566483
Name:SABINO, PAULA F (APRN,BC)
Entity type:Individual
Prefix:MS
First Name:PAULA
Middle Name:F
Last Name:SABINO
Suffix:
Gender:F
Credentials:APRN,BC
Other - Prefix:
Other - First Name:
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Mailing Address - Street 1:17 WATER ST
Mailing Address - Street 2:#2
Mailing Address - City:GUILFORD
Mailing Address - State:CT
Mailing Address - Zip Code:06437-2877
Mailing Address - Country:US
Mailing Address - Phone:203-453-1616
Mailing Address - Fax:203-453-1616
Practice Address - Street 1:17 WATER ST
Practice Address - Street 2:#2
Practice Address - City:GUILFORD
Practice Address - State:CT
Practice Address - Zip Code:06437-2877
Practice Address - Country:US
Practice Address - Phone:203-453-1616
Practice Address - Fax:203-453-1616
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-08-26
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CT000888363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
CTS91047Medicare UPIN