Provider Demographics
NPI:1548762552
Name:SABUSAP, ARSENIA POMPERADA (ARNP,RN)
Entity Type:Individual
Prefix:MRS
First Name:ARSENIA
Middle Name:POMPERADA
Last Name:SABUSAP
Suffix:
Gender:F
Credentials:ARNP,RN
Other - Prefix:
Other - First Name:
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Mailing Address - Street 1:4105 TORRES CIR
Mailing Address - Street 2:
Mailing Address - City:WEST PALM BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33409-8122
Mailing Address - Country:US
Mailing Address - Phone:561-697-9872
Mailing Address - Fax:561-697-9872
Practice Address - Street 1:GRACE MEDICAL CENTER OF FLORIDA
Practice Address - Street 2:4212 NORTHLAKE BLVD.
Practice Address - City:PALM BEACH GARDENS
Practice Address - State:FL
Practice Address - Zip Code:33410
Practice Address - Country:US
Practice Address - Phone:561-841-6252
Practice Address - Fax:561-841-6260
Is Sole Proprietor?:Yes
Enumeration Date:2018-03-06
Last Update Date:2018-03-06
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
FL1979652363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily