Provider Demographics
NPI:1578386710
Name:NEBIYE, SABRINA (RN)
Entity type:Individual
Prefix:
First Name:SABRINA
Middle Name:
Last Name:NEBIYE
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:199 WELLS AVE STE 108
Mailing Address - Street 2:
Mailing Address - City:NEWTON
Mailing Address - State:MA
Mailing Address - Zip Code:02459-3320
Mailing Address - Country:US
Mailing Address - Phone:774-519-6411
Mailing Address - Fax:
Practice Address - Street 1:199 WELLS AVE STE 108
Practice Address - Street 2:
Practice Address - City:NEWTON
Practice Address - State:MA
Practice Address - Zip Code:02459-3320
Practice Address - Country:US
Practice Address - Phone:774-519-6411
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-11-06
Last Update Date:2024-11-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MARN2382369163WP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WP0808XNursing Service ProvidersRegistered NursePsychiatric/Mental Health