Provider Demographics
NPI:1417466483
Name:CHARLES-ARBOUET, SABINE ERICA (RN)
Entity Type:Individual
Prefix:
First Name:SABINE
Middle Name:ERICA
Last Name:CHARLES-ARBOUET
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 1:1 PINE WOODS LN
Mailing Address - Street 2:
Mailing Address - City:STERLING
Mailing Address - State:MA
Mailing Address - Zip Code:01564-2152
Mailing Address - Country:US
Mailing Address - Phone:978-549-0020
Mailing Address - Fax:
Practice Address - Street 1:25 ORIOL DRIVE
Practice Address - Street 2:
Practice Address - City:WORCESTER
Practice Address - State:MA
Practice Address - Zip Code:01605
Practice Address - Country:US
Practice Address - Phone:978-549-0020
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-09-21
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA216407163WW0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WW0000XNursing Service ProvidersRegistered NurseWound Care
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA01111974OtherBIRTHDAY