Individual
MS. MAXINE MARIE SABIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
1141 E 3900 S, STE A-250, SLC, UT 84124-1215
(801) 284-4903
(801) 284-4901
Mailing address
1703 HERBERT AVE, SLC, UT 84108-1829
(801) 583-8929
Taxonomy
Speciality
Code
Description
License number
State
163WP0808X
Psychiatric/Mental Health Registered Nurse
Primary
1892413102
UT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
107030145101
IHC
UT
01
—
262123
DESERT MUTUAL
UT
01
—
942938348SA1
EDUCATORS MUTUAL
UT
Enumeration date
11/29/2005
Last updated
04/12/2012
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