Healthcare Provider Details

I. General information

NPI: 1881131712
Provider Name (Legal Business Name): EVANGELINE SABADO NP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/30/2017
Last Update Date: 07/27/2026
Certification Date: 07/27/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1212 N SPENCER STE 2
MESA AZ
85203-4347
US

IV. Provider business mailing address

1212 N SPENCER STE 2
MESA AZ
85203-4347
US

V. Phone/Fax

Practice location:
  • Phone: 480-307-0333
  • Fax:
Mailing address:
  • Phone: 480-307-0333
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberAP10012
License Number StateAZ
# 2
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License NumberAP10012
License Number StateAZ
# 3
Primary TaxonomyN
Taxonomy Code163WH1000X
TaxonomyHospice Registered Nurse
License NumberRN152772
License Number StateAZ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: