Healthcare Provider Details

I. General information

NPI: 1053083329
Provider Name (Legal Business Name): ABEL SABA DNP FNP
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/04/2021
Last Update Date: 04/01/2025
Certification Date: 04/01/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5620 S REGAL ST
SPOKANE WA
99223-7957
US

IV. Provider business mailing address

611 N IRON BRIDGE WAY
SPOKANE WA
99202-4932
US

V. Phone/Fax

Practice location:
  • Phone: 509-444-8200
  • Fax: 509-340-0565
Mailing address:
  • Phone: 509-444-8888
  • Fax: 509-434-0392

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code364SC1501X
TaxonomyCommunity Health/Public Health Clinical Nurse Specialist
License Number5271158
License Number StateID
# 2
Primary TaxonomyY
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License NumberAP61212689
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: