Doctor Name: | EVELYN ROSALIE SABROE |
NPI Number: | 1295800621 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | ARNP |
License Number: | AP30007427 |
Business Practice Address: | 1175 Center Dr Ste 130 Dupont, WA - 983277733 |
Business Phone Number: | 2539645260 |
Business Fax Number: | 2539645266 |
Mailing Address: | 1175 Center Dr, Ste 130 DUPONT |
State: | WA |
Postal Code: | 983277733 |
Phone Number: | 2539645260 |
Fax Number: | 2539645266 |
NPI Enumeration Date: | 11/21/2006 |
NPI Last Update Date: | 11/09/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LP2300X |
License Number: | AP30007427 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | WA |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Primary Care |
Taxonomy Definition: |