Provider Demographics
NPI:1194483867
Name:MARIA SABANICO APRN P PLLC
Entity type:Organization
Organization Name:MARIA SABANICO APRN P PLLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:AUTHORIZED OFFICIAL
Authorized Official - Prefix:
Authorized Official - First Name:MARIA
Authorized Official - Middle Name:
Authorized Official - Last Name:SABANICO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:702-659-2270
Mailing Address - Street 1:9936 BUNDELLA DR
Mailing Address - Street 2:
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89134-7574
Mailing Address - Country:US
Mailing Address - Phone:702-659-2270
Mailing Address - Fax:702-522-6071
Practice Address - Street 1:9936 BUNDELLA DR
Practice Address - Street 2:
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89134-7574
Practice Address - Country:US
Practice Address - Phone:702-659-2270
Practice Address - Fax:702-522-6071
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-11-30
Last Update Date:2024-12-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes261QP2300XAmbulatory Health Care FacilitiesClinic/CenterPrimary Care
No207RH0002XAllopathic & Osteopathic PhysiciansInternal MedicineHospice and Palliative MedicineGroup - Multi-Specialty
No261Q00000XAmbulatory Health Care FacilitiesClinic/Center
No261QC1500XAmbulatory Health Care FacilitiesClinic/CenterCommunity Health
No261QP3300XAmbulatory Health Care FacilitiesClinic/CenterPain