Healthcare Provider Details

I. General information

NPI: 1154226306
Provider Name (Legal Business Name): SABRINNA MARIE TOWLE
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 10/08/2026
Last Update Date: 10/08/2026
Certification Date: 10/08/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

25125 MADISON AVE STE 105
MURRIETA CA
92562-8970
US

IV. Provider business mailing address

25125 MADISON AVE STE 105
MURRIETA CA
92562-8970
US

V. Phone/Fax

Practice location:
  • Phone: 909-825-7084
  • Fax: 909-422-3007
Mailing address:
  • Phone: 909-825-7084
  • Fax: 909-422-9007

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code164W00000X
TaxonomyLicensed Practical Nurse
License Number692664
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: