MEDICARE: ANGELINA SABETTA

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	2081H0002X	Hospice and Palliative Medicine (Physical Medicine & Rehabilitation) Physician	1669165502	NV

General Provider Information

NPI Number	:	1669210928
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ANGELINA SABETTA

Provider Business Mailing Address
First Line	:	8860 S MARYLAND PKWY STE 104
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89123-4005
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	8860 S MARYLAND PKWY STE 104
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89123-4005
Country	:	US
Telephone Number	:	702-881-4033
Fax Number	:

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

Provider Enumeration Date	:	07/19/2024
Last Update Date	:	07/19/2024

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Directions to “ ANGELINA SABETTA ” Practice Location

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