Provider Demographics
NPI:1285310318
Name:KANSOLE, SABINE
Entity type:Individual
Prefix:
First Name:SABINE
Middle Name:
Last Name:KANSOLE
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1808 GREENWICH WOOD DR
Mailing Address - Street 2:
Mailing Address - City:SILVER SPRING
Mailing Address - State:MD
Mailing Address - Zip Code:20903-2113
Mailing Address - Country:US
Mailing Address - Phone:720-609-8623
Mailing Address - Fax:
Practice Address - Street 1:1808 GREENWICH WOOD DR
Practice Address - Street 2:
Practice Address - City:SILVER SPRING
Practice Address - State:MD
Practice Address - Zip Code:20903-2113
Practice Address - Country:US
Practice Address - Phone:720-609-8623
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-06-23
Last Update Date:2023-06-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374U00000XNursing Service Related ProvidersHome Health Aide