Provider Demographics
NPI:1902190465
Name:SABELLA, ANNETTE JEAN (RN BSN, APN-C)
Entity Type:Individual
Prefix:
First Name:ANNETTE
Middle Name:JEAN
Last Name:SABELLA
Suffix:
Gender:F
Credentials:RN BSN, APN-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:119 W GROVE ST
Mailing Address - Street 2:
Mailing Address - City:BOGOTA
Mailing Address - State:NJ
Mailing Address - Zip Code:07603-1002
Mailing Address - Country:US
Mailing Address - Phone:551-404-4527
Mailing Address - Fax:
Practice Address - Street 1:360 UNION ST
Practice Address - Street 2:
Practice Address - City:HACKENSACK
Practice Address - State:NJ
Practice Address - Zip Code:07601-4325
Practice Address - Country:US
Practice Address - Phone:201-646-7866
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-06-01
Last Update Date:2011-06-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ26N008708000163WS0200X
NJ26NJ00136700163WS0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WS0200XNursing Service ProvidersRegistered NurseSchool