MEDICARE: SABINA HOSSAIN APRN

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	363LA2200X	Adult Health Nurse Practitioner	0028839	OH
2	363L00000X	Nurse Practitioner	5526	CT
3	363LA2200X	Adult Health Nurse Practitioner	AP60696749	WA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1154757052
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SABINA HOSSAIN APRN

Provider Business Mailing Address
First Line	:	2323 LEE RD
Second Line	:
City	:	CLEVELAND HEIGHTS
State	:	OH
Zip	:	44118-3413
Country	:	US
Telephone Number	:	216-350-1000
Fax Number	:

Provider Business Practice Location Address
First Line	:	2323 LEE RD
Second Line	:
City	:	CLEVELAND HEIGHTS
State	:	OH
Zip	:	44118-3413
Country	:	US
Telephone Number	:	216-350-1000
Fax Number	:

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

Provider Enumeration Date	:	09/24/2013
Last Update Date	:	11/11/2022

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