MEDICARE: SABINE PRINCE-BATAILLE

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	163W00000X	Registered Nurse	26NR13748100	NJ

General Provider Information

NPI Number	:	1013474311
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SABINE PRINCE-BATAILLE

Provider Business Mailing Address
First Line	:	B16 WOODSIDE GDNS
Second Line	:
City	:	ROSELLE PARK
State	:	NJ
Zip	:	07204-1002
Country	:	US
Telephone Number	:	862-755-7683
Fax Number	:

Provider Business Practice Location Address
First Line	:	2165 MORRIS AVE STE 3
Second Line	:
City	:	UNION
State	:	NJ
Zip	:	07083-5913
Country	:	US
Telephone Number	:	862-755-7683
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/23/2019
Last Update Date	:	02/23/2019

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Directions to “ SABINE PRINCE-BATAILLE ” Practice Location

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