Provider Demographics
NPI:1083911150
Name:MELLO, SABINA BERNARDINE (RN)
Entity Type:Individual
Prefix:MRS
First Name:SABINA
Middle Name:BERNARDINE
Last Name:MELLO
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7719 WURZBACH RD
Mailing Address - Street 2:SUITE B
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78229-4422
Mailing Address - Country:US
Mailing Address - Phone:210-317-9146
Mailing Address - Fax:
Practice Address - Street 1:7719 WURZBACH RD
Practice Address - Street 2:SUITE B
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78229-4422
Practice Address - Country:US
Practice Address - Phone:210-317-9146
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-02-24
Last Update Date:2011-02-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX793278163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse