Individual
MARY LAUREN SABATINO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PNP
Contact information
Practice address
111 IVY DR, APT 2, CHARLOTTESVILLE, VA 22903-5012
(610) 220-7148
Mailing address
111 IVY DRIVE, APT 2, CHARLOTTESVILLE, VA 22903
(610) 220-7148
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
0001267841
VA
163W00000X
Registered Nurse
701859-1
NY
363LP0200X
Pediatric Nurse Practitioner
Primary
0024174591
VA
Other
Enumeration date
06/13/2016
Last updated
01/31/2018
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