Healthcare Provider Details

I. General information

NPI: 1548193675
Provider Name (Legal Business Name): SAGE NURSING, PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/08/2026
Last Update Date: 06/08/2026
Certification Date: 06/07/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1323 RAINBOW VALLEY BLVD
FALLBROOK CA
92028-9774
US

IV. Provider business mailing address

1323 RAINBOW VALLEY BLVD
FALLBROOK CA
92028-9774
US

V. Phone/Fax

Practice location:
  • Phone: 408-351-8197
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number
License Number State

VIII. Authorized Official

Name: ANNIKA ALVAREZ
Title or Position: APRN
Credential: FNP PMHNP
Phone: 408-351-8197