Provider Demographics
NPI:1922295229
Name:GABISI, SANA MORONDIA (RN)
Entity Type:Individual
Prefix:MISS
First Name:SANA
Middle Name:MORONDIA
Last Name:GABISI
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:116 BRADLEE ST APT 10
Mailing Address - Street 2:
Mailing Address - City:HYDE PARK
Mailing Address - State:MA
Mailing Address - Zip Code:02136-2227
Mailing Address - Country:US
Mailing Address - Phone:617-364-4688
Mailing Address - Fax:
Practice Address - Street 1:116 BRADLEE ST APT 10
Practice Address - Street 2:
Practice Address - City:HYDE PARK
Practice Address - State:MA
Practice Address - Zip Code:02136-2227
Practice Address - Country:US
Practice Address - Phone:617-364-4688
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-10-01
Last Update Date:2007-10-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA204776163WH0500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WH0500XNursing Service ProvidersRegistered NurseHemodialysis