Healthcare Provider Details

I. General information

NPI: 1851964845
Provider Name (Legal Business Name): EMMA CHRISTINE SAWYER FNP-C
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: EMMA CHRISTINE KOERPER

II. Dates (important events)

Enumeration Date: 07/19/2021
Last Update Date: 09/08/2026
Certification Date: 09/08/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

949 PALM AVE
IMPERIAL BEACH CA
91932-1503
US

IV. Provider business mailing address

949 PALM AVE
IMPERIAL BEACH CA
91932-1503
US

V. Phone/Fax

Practice location:
  • Phone: 619-429-3733
  • Fax:
Mailing address:
  • Phone: 619-429-3733
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number5383661051
License Number StateKS

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: