Provider Demographics
NPI:1558089532
Name:SABATINA, STACEY (NP)
Entity Type:Individual
Prefix:
First Name:STACEY
Middle Name:
Last Name:SABATINA
Suffix:
Gender:F
Credentials:NP
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Mailing Address - Street 1:7952 N MUSIC MOUNTAIN LN
Mailing Address - Street 2:
Mailing Address - City:PRESCOTT VALLEY
Mailing Address - State:AZ
Mailing Address - Zip Code:86315-9090
Mailing Address - Country:US
Mailing Address - Phone:928-830-1747
Mailing Address - Fax:
Practice Address - Street 1:7750 E FLORENTINE RD STE A
Practice Address - Street 2:
Practice Address - City:PRESCOTT VALLEY
Practice Address - State:AZ
Practice Address - Zip Code:86314-2245
Practice Address - Country:US
Practice Address - Phone:928-277-1211
Practice Address - Fax:928-277-1208
Is Sole Proprietor?:No
Enumeration Date:2022-08-16
Last Update Date:2022-08-25
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
AZ2793442084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry