MEDICARE: SABRINA MARIE LINVILLE NP

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	363LF0000X	Family Nurse Practitioner	279129	AZ

General Provider Information

NPI Number	:	1114645488
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SABRINA MARIE LINVILLE NP

Provider Business Mailing Address
First Line	:	1331 W NEW RIVER RD
Second Line	:
City	:	NEW RIVER
State	:	AZ
Zip	:	85087-6966
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	1331 W NEW RIVER RD
Second Line	:
City	:	NEW RIVER
State	:	AZ
Zip	:	85087-6966
Country	:	US
Telephone Number	:	--
Fax Number	:

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

Provider Enumeration Date	:	08/22/2022
Last Update Date	:	02/04/2025

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