Provider Demographics
NPI:1871905091
Name:PANICH, SABRINA RUTH (FNP-BC)
Entity type:Individual
Prefix:MS
First Name:SABRINA
Middle Name:RUTH
Last Name:PANICH
Suffix:
Gender:F
Credentials:FNP-BC
Other - Prefix:
Other - First Name:
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Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:5582 PARADISE DR
Mailing Address - Street 2:
Mailing Address - City:READING
Mailing Address - State:MI
Mailing Address - Zip Code:49274-9827
Mailing Address - Country:US
Mailing Address - Phone:734-658-2920
Mailing Address - Fax:
Practice Address - Street 1:7845 SPRING ARBOR RD
Practice Address - Street 2:
Practice Address - City:SPRING ARBOR
Practice Address - State:MI
Practice Address - Zip Code:49283-9785
Practice Address - Country:US
Practice Address - Phone:517-205-2580
Practice Address - Fax:517-205-2598
Is Sole Proprietor?:No
Enumeration Date:2014-05-22
Last Update Date:2021-01-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI4704278235363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily