Healthcare Provider Details

I. General information

NPI: 1619658309
Provider Name (Legal Business Name): SABRINA ANN LANG
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: SABRINA ANN ABDALA

II. Dates (important events)

Enumeration Date: 07/26/2023
Last Update Date: 08/04/2026
Certification Date: 08/04/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

525 N WOLFE ST
BALTIMORE MD
21205-2110
US

IV. Provider business mailing address

1006 COLUMBUS DR
STAFFORD VA
22554-1937
US

V. Phone/Fax

Practice location:
  • Phone: 410-955-4766
  • Fax:
Mailing address:
  • Phone: 703-474-2325
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code367500000X
TaxonomyCertified Registered Nurse Anesthetist
License Number0024197731
License Number StateVA
# 2
Primary TaxonomyN
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License Number0001281806
License Number StateVA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: