Provider Demographics
NPI:1346032398
Name:SABIDO, PHILIP MIGUEL AMONCIO (RN, APRN)
Entity type:Individual
Prefix:
First Name:PHILIP MIGUEL
Middle Name:AMONCIO
Last Name:SABIDO
Suffix:
Gender:M
Credentials:RN, APRN
Other - Prefix:
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Other - Middle Name:
Other - Last Name:
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Other - Last Name Type:
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Mailing Address - Street 1:904 PARK AVE W APT 210
Mailing Address - Street 2:
Mailing Address - City:WATFORD CITY
Mailing Address - State:ND
Mailing Address - Zip Code:58854-3007
Mailing Address - Country:US
Mailing Address - Phone:615-752-0885
Mailing Address - Fax:
Practice Address - Street 1:709 4TH AVE NE
Practice Address - Street 2:
Practice Address - City:WATFORD CITY
Practice Address - State:ND
Practice Address - Zip Code:58854-7628
Practice Address - Country:US
Practice Address - Phone:701-842-3000
Practice Address - Fax:701-842-6248
Is Sole Proprietor?:No
Enumeration Date:2025-05-17
Last Update Date:2025-05-17
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NDR50466163W00000X
ND202081363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No163W00000XNursing Service ProvidersRegistered Nurse