Individual
SABO UBA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
NP
Contact information
Practice address
2017 JEFFERSON ST SW, ROANOKE, VA 24014-2419
(540) 981-8025
Mailing address
213 S JEFFERSON ST STE 1006, ROANOKE, VA 24011-1713
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
RN758858
PA
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
0024194484
VA
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
2022008514
MO
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
5021994
NC
Other
Enumeration date
02/25/2013
Last updated
10/17/2025
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