Basic Information
| Provider Information | |||||||||
| NPI: | 1992478341 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | SABAU | ||||||||
| FirstName: | ANDREIA | ||||||||
| MiddleName: | FLORINA | ||||||||
| NamePrefix: | MRS. | ||||||||
| NameSuffix: | |||||||||
| Credential: | MSN,APRN,PMHNP-BC. | ||||||||
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| Mailing Information | |||||||||
| Address1: | 801 N QUINCY ST STE 620 | ||||||||
| Address2: | |||||||||
| City: | ARLINGTON | ||||||||
| State: | VA | ||||||||
| PostalCode: | 222031729 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7038124642 | ||||||||
| FaxNumber: | |||||||||
| Practice Location | |||||||||
| Address1: | 801 N QUINCY ST STE 620 | ||||||||
| Address2: | |||||||||
| City: | ARLINGTON | ||||||||
| State: | VA | ||||||||
| PostalCode: | 222031729 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7038124642 | ||||||||
| FaxNumber: | |||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 07/30/2021 | ||||||||
| LastUpdateDate: | 07/30/2021 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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| NPICertificationDate: | 07/30/2021 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 101Y00000X | N | Behavioral Health & Social Service Providers | Counselor | 363LP0808X | 002418215 | VA | Y | Physician Assistants & Advanced Practice Nursing Providers | Nurse Practitioner | Psych/Mental Health |
ID Information
| ID | Type | State | Issuer | Description | 002418215 | 01 | VA | VIRGINIA DEPARTMENT OF HEALTH PROFESSIONS | OTHER |