Individual
SABRINA ANN SEPULVEDA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CRNP-PMH
Contact information
Practice address
41625 PARK AVE, LEONARDTOWN, MD 20650-3894
(301) 494-1009
(970) 296-5636
Mailing address
PO BOX 452, VALLEY LEE, MD 20692-0452
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
R159759
MD
Other
Enumeration date
11/03/2011
Last updated
10/14/2022
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