Provider Demographics
NPI:1851597769
Name:ST HILAIRE, SABINA MARIA (LPN)
Entity Type:Individual
Prefix:MRS
First Name:SABINA
Middle Name:MARIA
Last Name:ST HILAIRE
Suffix:
Gender:F
Credentials:LPN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9267 SW 5TH ST
Mailing Address - Street 2:APT. A
Mailing Address - City:BOCA RATON
Mailing Address - State:FL
Mailing Address - Zip Code:33428-6313
Mailing Address - Country:US
Mailing Address - Phone:561-482-8199
Mailing Address - Fax:
Practice Address - Street 1:9267 SW 5TH ST
Practice Address - Street 2:APT. A
Practice Address - City:BOCA RATON
Practice Address - State:FL
Practice Address - Zip Code:33428-6313
Practice Address - Country:US
Practice Address - Phone:561-482-8199
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-06-26
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPN5170968164W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164W00000XNursing Service ProvidersLicensed Practical Nurse