Individual
MRS. KRISTIN MICHELLE SABANOSH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN MSN CPNP
Contact information
Practice address
100 MADISON AVE, MORRISTOWN, NJ 07960-6136
(973) 971-8942
Mailing address
21 VALLEY VIEW TRL, SPARTA, NJ 07871-1418
(617) 319-1979
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
26NJ00369000
NJ
363LP0200X
Pediatric Nurse Practitioner
381873
NY
Other
Enumeration date
02/01/2007
Last updated
10/16/2012
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