Provider Demographics
NPI:1871386797
Name:MARCELINO, SABRINA VIANA (APRN)
Entity type:Individual
Prefix:
First Name:SABRINA
Middle Name:VIANA
Last Name:MARCELINO
Suffix:
Gender:F
Credentials:APRN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:13 CITY VW
Mailing Address - Street 2:
Mailing Address - City:MANCHESTER
Mailing Address - State:CT
Mailing Address - Zip Code:06040-6360
Mailing Address - Country:US
Mailing Address - Phone:413-588-8386
Mailing Address - Fax:
Practice Address - Street 1:13 CITY VW
Practice Address - Street 2:
Practice Address - City:MANCHESTER
Practice Address - State:CT
Practice Address - Zip Code:06040-6360
Practice Address - Country:US
Practice Address - Phone:413-588-8386
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-05-23
Last Update Date:2025-05-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CTF04250470363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily