Healthcare Provider Details

I. General information

NPI: 1285122663
Provider Name (Legal Business Name): SABINE PRICE RN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/01/2018
Last Update Date: 05/01/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8300 CONSTITUTION PL NE
ALBUQUERQUE NM
87110-7637
US

IV. Provider business mailing address

8300 CONSTITUTION PL NE
ALBUQUERQUE NM
87110-7637
US

V. Phone/Fax

Practice location:
  • Phone: 505-291-2200
  • Fax:
Mailing address:
  • Phone: 505-291-2200
  • Fax: 505-192-2233

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WP2201X
TaxonomyAmbulatory Care Registered Nurse
License NumberR46998
License Number StateNM

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: