Provider Demographics
NPI:1659145910
Name:CHIN, SABRINA PURNELL (RN)
Entity Type:Individual
Prefix:
First Name:SABRINA
Middle Name:PURNELL
Last Name:CHIN
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:SABRINA
Other - Middle Name:
Other - Last Name:PURNELL
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:RN
Mailing Address - Street 1:PSC 473 BOX 3388
Mailing Address - Street 2:
Mailing Address - City:FPO
Mailing Address - State:AP
Mailing Address - Zip Code:96349-0034
Mailing Address - Country:US
Mailing Address - Phone:857-800-2921
Mailing Address - Fax:
Practice Address - Street 1:BUILDING 1400 YOKOSUKA NAVAL BASE
Practice Address - Street 2:
Practice Address - City:FPO
Practice Address - State:AP
Practice Address - Zip Code:96349
Practice Address - Country:US
Practice Address - Phone:315-243-8721
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-11-08
Last Update Date:2023-11-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC317164163WP0808X, 163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse
No163WP0808XNursing Service ProvidersRegistered NursePsychiatric/Mental Health