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NPI Code Detail

MEDICARE: JUDY ANN SABLES CRNA

MEDICARE: JUDY ANN SABLES CRNA
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
1367500000XCertified Registered Nurse AnesthetistARNP9271226FL
2367500000XCertified Registered Nurse Anesthetist4704154597MI

Other Identifiers

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

General Provider Information

NPI Number : 1376527176
Entity Type Code : Individual
Provider Name (Legal Business Name) : JUDY ANN SABLES CRNA
Provider Business Mailing Address
First Line : 9370 LAKE PARK DR
Second Line :
City : GRAND BLANC
State : MI
Zip : 48439-8050
Country : US
Telephone Number : 248-496-1892
Fax Number :
Provider Business Practice Location Address
First Line : 2815 S SEACREST BLVD
Second Line :
City : BOYNTON BEACH
State : FL
Zip : 33435-7969
Country : US
Telephone Number : 561-737-7733
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/05/2005
Last Update Date : 09/20/2022

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