Healthcare Provider Details

I. General information

NPI: 1053857409
Provider Name (Legal Business Name): ALMA SABOVIC APRN, BC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/10/2017
Last Update Date: 07/11/2022
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

263 FARMINGTON AVE
FARMINGTON CT
06030-8023
US

IV. Provider business mailing address

263 FARMINGTON AVE
FARMINGTON CT
06030-8023
US

V. Phone/Fax

Practice location:
  • Phone: 860-679-4477
  • Fax: 860-679-8770
Mailing address:
  • Phone: 860-679-4477
  • Fax: 860-679-8770

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License Number6854
License Number StateCT
# 2
Primary TaxonomyY
Taxonomy Code363LA2100X
TaxonomyAcute Care Nurse Practitioner
License Number6854
License Number StateCT

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: