Provider Demographics
NPI:1669427985
Name:SZABALA, SABINA THERESA (NNP)
Entity type:Individual
Prefix:
First Name:SABINA
Middle Name:THERESA
Last Name:SZABALA
Suffix:
Gender:F
Credentials:NNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7720 N 16TH ST
Mailing Address - Street 2:425
Mailing Address - City:PHOENIX
Mailing Address - State:AZ
Mailing Address - Zip Code:85020-4492
Mailing Address - Country:US
Mailing Address - Phone:623-643-9235
Mailing Address - Fax:623-643-9236
Practice Address - Street 1:7720 N 16TH ST
Practice Address - Street 2:425
Practice Address - City:PHOENIX
Practice Address - State:AZ
Practice Address - Zip Code:85020-4492
Practice Address - Country:US
Practice Address - Phone:623-643-9235
Practice Address - Fax:623-643-9236
Is Sole Proprietor?:No
Enumeration Date:2006-05-24
Last Update Date:2013-10-10
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MN162041-8363LN0000X
AZRN047717363LN0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LN0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerNeonatal