MEDICARE: VALARIE SAWYER RN

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	163W00000X	Registered Nurse	RN 3335092	FL

General Provider Information

NPI Number	:	1548795891
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	VALARIE SAWYER RN

Provider Business Mailing Address
First Line	:	4106 WOODLEY CREEK RD
Second Line	:
City	:	JACKSONVILLE
State	:	FL
Zip	:	32218-9184
Country	:	US
Telephone Number	:	904-887-3931
Fax Number	:	904-862-6916

Provider Business Practice Location Address
First Line	:	9821 RIBAULT AVE
Second Line	:
City	:	JACKSONVILLE
State	:	FL
Zip	:	32208-1492
Country	:	US
Telephone Number	:	904-887-3931
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/25/2017
Last Update Date	:	04/25/2017

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