Provider Demographics
NPI:1346378965
Name:SERGEANT-ABBATE, NANCY JANE (DR)
Entity Type:Individual
Prefix:DR
First Name:NANCY
Middle Name:JANE
Last Name:SERGEANT-ABBATE
Suffix:
Gender:F
Credentials:DR
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2101 E RIVER RD
Mailing Address - Street 2:
Mailing Address - City:TUCSON
Mailing Address - State:AZ
Mailing Address - Zip Code:85718-6508
Mailing Address - Country:US
Mailing Address - Phone:520-299-6446
Mailing Address - Fax:520-577-5337
Practice Address - Street 1:2101 E RIVER RD
Practice Address - Street 2:
Practice Address - City:TUCSON
Practice Address - State:AZ
Practice Address - Zip Code:85718-6508
Practice Address - Country:US
Practice Address - Phone:520-299-6446
Practice Address - Fax:520-577-5337
Is Sole Proprietor?:No
Enumeration Date:2007-03-02
Last Update Date:2007-07-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ101YS0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YS0200XBehavioral Health & Social Service ProvidersCounselorSchool