Provider Demographics
NPI:1235509068
Name:BARRIOS, SABRINA MARIE (NP-C)
Entity Type:Individual
Prefix:MRS
First Name:SABRINA
Middle Name:MARIE
Last Name:BARRIOS
Suffix:
Gender:F
Credentials:NP-C
Other - Prefix:MISS
Other - First Name:SABRINA
Other - Middle Name:MARIE
Other - Last Name:MUPO
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:NP-C
Mailing Address - Street 1:570 S MOUNT VERNON AVE
Mailing Address - Street 2:#G
Mailing Address - City:SAN BERNARDINO
Mailing Address - State:CA
Mailing Address - Zip Code:92410-2760
Mailing Address - Country:US
Mailing Address - Phone:909-884-6700
Mailing Address - Fax:
Practice Address - Street 1:570 S MOUNT VERNON AVE
Practice Address - Street 2:#G
Practice Address - City:SAN BERNARDINO
Practice Address - State:CA
Practice Address - Zip Code:92410-2760
Practice Address - Country:US
Practice Address - Phone:909-884-6700
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-10-06
Last Update Date:2016-10-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA834607363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily