Provider Demographics
NPI:1871339150
Name:GHALE, SABITA (APRN)
Entity type:Individual
Prefix:
First Name:SABITA
Middle Name:
Last Name:GHALE
Suffix:
Gender:F
Credentials:APRN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2720 SANDERSVILLE RD
Mailing Address - Street 2:
Mailing Address - City:LEXINGTON
Mailing Address - State:KY
Mailing Address - Zip Code:40511-8849
Mailing Address - Country:US
Mailing Address - Phone:859-619-4101
Mailing Address - Fax:
Practice Address - Street 1:3167 CUSTER DR STE 102
Practice Address - Street 2:
Practice Address - City:LEXINGTON
Practice Address - State:KY
Practice Address - Zip Code:40517-4018
Practice Address - Country:US
Practice Address - Phone:502-219-3448
Practice Address - Fax:502-406-5803
Is Sole Proprietor?:No
Enumeration Date:2024-07-05
Last Update Date:2024-08-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY4023656363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health