Individual
WILLIAM G SABEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
FNP
Contact information
Practice address
1951 BENCH RD, SUITE B, POCATELLO, ID 83201-2073
(208) 238-1000
(208) 238-0009
Mailing address
1951 BENCH RD, SUITE B, POCATELLO, ID 83201-2073
(208) 238-1000
(208) 238-0009
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
NP570A
ID
363LF0000X
Family Nurse Practitioner
NP570A
ID
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000010139267
REGENCE BLUE SHIELD
ID
05
—
806388600
—
ID
Enumeration date
09/26/2005
Last updated
09/22/2011
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