Provider Demographics
NPI:1467517763
Name:SABO, GAIL A (NP)
Entity Type:Individual
Prefix:MRS
First Name:GAIL
Middle Name:A
Last Name:SABO
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5897 WINCHELL RD
Mailing Address - Street 2:
Mailing Address - City:HIRAM
Mailing Address - State:OH
Mailing Address - Zip Code:44234-9785
Mailing Address - Country:US
Mailing Address - Phone:216-792-1380
Mailing Address - Fax:
Practice Address - Street 1:5897 WINCHELL RD
Practice Address - Street 2:
Practice Address - City:HIRAM
Practice Address - State:OH
Practice Address - Zip Code:44234-9785
Practice Address - Country:US
Practice Address - Phone:216-792-1380
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-12-27
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH184844363LA2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health