Provider Demographics
NPI:1780575480
Name:PAGE, SABRINA (AGACNP-BC)
Entity type:Individual
Prefix:
First Name:SABRINA
Middle Name:
Last Name:PAGE
Suffix:
Gender:X
Credentials:AGACNP-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11611 NW 29TH PL
Mailing Address - Street 2:
Mailing Address - City:SUNRISE
Mailing Address - State:FL
Mailing Address - Zip Code:33323-1634
Mailing Address - Country:US
Mailing Address - Phone:954-556-0312
Mailing Address - Fax:
Practice Address - Street 1:11611 NW 29TH PL
Practice Address - Street 2:
Practice Address - City:SUNRISE
Practice Address - State:FL
Practice Address - Zip Code:33323-1634
Practice Address - Country:US
Practice Address - Phone:954-556-0312
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-07-10
Last Update Date:2025-07-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL2025034936363LA2100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2100XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAcute Care