Sabra J Van Orsdol, BSN,RN,PHN
Individual provider Active NPI Community Health Registered Nurse · Peridot, AZ
NPI 1639729429 · NPPES record last updated Sep 13, 2019
Key facts
- NPI
- 1639729429
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Community Health Registered Nurse 163WC1500X
- License
- RN157794 (AZ)
- Practice address
- 103 Medicine Way Rd
Peridot, AZ 85542-5000 - Phone
- (928) 475-1564
- NPI assigned
- Sep 13, 2019
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Bachelor on Science - Nursing, Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN157794 | AZ | MD | Community Health Registered Nurse |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community Health Registered Nurse | 163WC1500X | RN157794 | AZ | Yes |
Addresses
Primary practice location
103 Medicine Way Rd
Peridot, AZ 85542-5000
Mailing address
PO Box 1702
Globe, AZ 85502-1702
Phone (928) 425-3512
Other providers in Peridot, AZ
- Brenda Stevens
- Dorothea Blanche Stevens
- Nalani Ann Stevens
- Pamela N Tambi
- Katherine Elaine Tavares
- Mandy Vaughan
- Layla Rose Wall
- Jarell Lamonz Wilson
- Jessica Stella Wirtz
All providers in Peridot, AZ · Community Health Registered Nurse in Arizona
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 13, 2019. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.