Provider Demographics
NPI:1295131860
Name:SABOT, KATHI (RN)
Entity type:Individual
Prefix:
First Name:KATHI
Middle Name:
Last Name:SABOT
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 1:146 S. GRANITE STREET
Mailing Address - Street 2:PRESCOTT UNIFIED SCHOOL DISTRICT
Mailing Address - City:PRESCOTT
Mailing Address - State:AZ
Mailing Address - Zip Code:86303
Mailing Address - Country:US
Mailing Address - Phone:928-717-3268
Mailing Address - Fax:
Practice Address - Street 1:146 S. GRANITE STREET
Practice Address - Street 2:PRESCOTT UNIFIED SCHOOL DISTRICT
Practice Address - City:PRESCOTT
Practice Address - State:AZ
Practice Address - Zip Code:86303
Practice Address - Country:US
Practice Address - Phone:928-717-3268
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2014-11-10
Last Update Date:2014-11-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZRN116149163WS0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WS0200XNursing Service ProvidersRegistered NurseSchool