Provider Demographics
NPI:1902816911
Name:SABATINO, ANN M (NP)
Entity Type:Individual
Prefix:
First Name:ANN
Middle Name:M
Last Name:SABATINO
Suffix:
Gender:F
Credentials:NP
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Mailing Address - Street 1:697 MASSACHUSETTS AVE
Mailing Address - Street 2:LUNENBERG FAMILY PRACTICE
Mailing Address - City:LUNENBURG
Mailing Address - State:MA
Mailing Address - Zip Code:01462-1323
Mailing Address - Country:US
Mailing Address - Phone:978-582-4587
Mailing Address - Fax:978-784-7292
Practice Address - Street 1:697 MASSACHUSETTS AVE
Practice Address - Street 2:LUNENBERG FAMILY PRACTICE
Practice Address - City:LUNENBURG
Practice Address - State:MA
Practice Address - Zip Code:01462-1323
Practice Address - Country:US
Practice Address - Phone:978-582-4587
Practice Address - Fax:978-784-7292
Is Sole Proprietor?:No
Enumeration Date:2006-08-09
Last Update Date:2011-05-17
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Provider Licenses
StateLicense IDTaxonomies
MA182438207Q00000X, 363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
MAP21184Medicare UPIN
MANP2945Medicare ID - Type UnspecifiedPART B
MA221804Medicare ID - Type UnspecifiedPART A-GROUP
MAP21184Medicare Oscar/Certification
MAY10141Medicare ID - Type UnspecifiedPART B-GROUP