Provider Demographics
NPI:1568982833
Name:PAULOS, SABRINA MICHELLE (LM, CPM)
Entity Type:Individual
Prefix:
First Name:SABRINA
Middle Name:MICHELLE
Last Name:PAULOS
Suffix:
Gender:F
Credentials:LM, CPM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1807 WENDALE AVE
Mailing Address - Street 2:
Mailing Address - City:LAS CRUCES
Mailing Address - State:NM
Mailing Address - Zip Code:88001-3038
Mailing Address - Country:US
Mailing Address - Phone:530-277-5938
Mailing Address - Fax:
Practice Address - Street 1:1807 WENDALE AVE
Practice Address - Street 2:
Practice Address - City:LAS CRUCES
Practice Address - State:NM
Practice Address - Zip Code:88001-3038
Practice Address - Country:US
Practice Address - Phone:530-277-5938
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-06-27
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NM17168R176B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes176B00000XOther Service ProvidersMidwife