Sabrina Casselberry
Nurse Practitioner, Family in Chandler, AZ. Individual provider (NPI-1).
NPI number1346902202
StatusActive
Last updated in NPPESFeb 8, 2022
Details
- NPI
- 1346902202
- Entity type
- Individual (NPI-1)
- Name
- Sabrina Casselberry
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Oct 7, 2021
- Certification date
- Feb 8, 2022
- Last updated
- Feb 8, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363LF0000X | Nurse Practitioner, Family | 267820 | AZ | Yes |
| 163WG0000X | Registered Nurse, General Practice | RN152810 | AZ |
Practice location
5980 S Cooper Rd Ste 1Chandler, AZ 85249-5394
Phone 480-704-3474
Mailing address
3401 S Vine StChandler, AZ 85248
Phone 858-922-2566
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