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NPI 1346902202 · live from the CMS NPI Registry

Sabrina Casselberry

Nurse Practitioner, Family in Chandler, AZ. National Provider Identifier 1346902202, active.

NPI record

NPI1346902202 Type 1 · individual
StatusActive
Primary specialtyNurse Practitioner, Family 363LF0000X
Practice location5980 S Cooper Rd Ste 1, Chandler, AZ 85249
Practice phone480-704-3474
Mailing address3401 S Vine St, Chandler, AZ 85248
EnumeratedOctober 7, 2021
Last updatedFebruary 8, 2022
Sole proprietorNo

Taxonomies and licenses

TaxonomyCodeLicense
Registered Nurse, General Practice163WG0000XRN152810 (AZ)
Nurse Practitioner, Family primary363LF0000X267820 (AZ)

Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.