Provider Demographics
NPI:1902373905
Name:ELIEN, SABRINA LYSSA (ARNP)
Entity Type:Individual
Prefix:
First Name:SABRINA
Middle Name:LYSSA
Last Name:ELIEN
Suffix:
Gender:F
Credentials:ARNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:117 SEMINOLE LAKES DR
Mailing Address - Street 2:
Mailing Address - City:ROYAL PALM BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33411-4211
Mailing Address - Country:US
Mailing Address - Phone:561-315-8921
Mailing Address - Fax:
Practice Address - Street 1:117 SEMINOLE LAKES DR
Practice Address - Street 2:
Practice Address - City:ROYAL PALM BEACH
Practice Address - State:FL
Practice Address - Zip Code:33411-4211
Practice Address - Country:US
Practice Address - Phone:561-315-8921
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-10-28
Last Update Date:2018-10-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL9318568363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily