Healthcare Provider Details

I. General information

NPI: 1467713339
Provider Name (Legal Business Name): MEREDITH ANN SABINS D.A.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/06/2012
Last Update Date: 04/02/2025
Certification Date: 04/02/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

11 ELM DR
N KINGSTOWN RI
02852-6220
US

IV. Provider business mailing address

11 ELM DR
N KINGSTOWN RI
02852-6220
US

V. Phone/Fax

Practice location:
  • Phone: 401-855-3066
  • Fax:
Mailing address:
  • Phone: 401-855-3066
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code171100000X
TaxonomyAcupuncturist
License NumberDA00394
License Number StateRI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: