Provider Demographics
NPI:1740681642
Name:WATSON, SABINE (APRN)
Entity type:Individual
Prefix:
First Name:SABINE
Middle Name:
Last Name:WATSON
Suffix:
Gender:F
Credentials:APRN
Other - Prefix:
Other - First Name:SABINE
Other - Middle Name:
Other - Last Name:JULES
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:964 MOULTHROP RD
Mailing Address - Street 2:
Mailing Address - City:EAST HAVEN
Mailing Address - State:VT
Mailing Address - Zip Code:05837-9811
Mailing Address - Country:US
Mailing Address - Phone:802-363-3209
Mailing Address - Fax:802-748-4540
Practice Address - Street 1:2000 MEMORIAL DR
Practice Address - Street 2:
Practice Address - City:ST JOHNSBURY
Practice Address - State:VT
Practice Address - Zip Code:05819-8321
Practice Address - Country:US
Practice Address - Phone:802-318-4768
Practice Address - Fax:802-424-1163
Is Sole Proprietor?:Yes
Enumeration Date:2014-09-10
Last Update Date:2024-02-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VT1010106507202D00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes202D00000XAllopathic & Osteopathic PhysiciansIntegrative Medicine