Provider Demographics
NPI:1245011527
Name:SABBATINO, BREANNE (PA-C)
Entity type:Individual
Prefix:
First Name:BREANNE
Middle Name:
Last Name:SABBATINO
Suffix:
Gender:F
Credentials:PA-C
Other - Prefix:
Other - First Name:BREANNE
Other - Middle Name:
Other - Last Name:SABBATINO
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:PA-C
Mailing Address - Street 1:3132 W MARCH LN
Mailing Address - Street 2:
Mailing Address - City:STOCKTON
Mailing Address - State:CA
Mailing Address - Zip Code:95219-8237
Mailing Address - Country:US
Mailing Address - Phone:209-305-7614
Mailing Address - Fax:
Practice Address - Street 1:3132 W MARCH LN
Practice Address - Street 2:
Practice Address - City:STOCKTON
Practice Address - State:CA
Practice Address - Zip Code:95219-8237
Practice Address - Country:US
Practice Address - Phone:209-305-7614
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-10-11
Last Update Date:2023-10-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363AM0700XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantMedical