Individual
DR. SABRINA MARIE AZAVEDO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
W3985 COUNTY ROAD NN, ELKHORN, WI 53121-4337
(262) 741-2121
Mailing address
8101 HINSON FARM RD STE 219, ALEXANDRIA, VA 22306-3406
(503) 358-0995
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
T-4138
MS
208D00000X
General Practice Physician
0101274241
VA
208D00000X
General Practice Physician
T-4138
MS
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
WI
Other
Enumeration date
07/01/2020
Last updated
04/11/2023
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