Healthcare Provider Details

I. General information

NPI: 1376488783
Provider Name (Legal Business Name): SAI HER REGISTERED NURSE
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/22/2026
Last Update Date: 04/22/2026
Certification Date: 04/21/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3928 PALMER CT
MERCED CA
95340-8111
US

IV. Provider business mailing address

301 E 13TH ST
MERCED CA
95341-6211
US

V. Phone/Fax

Practice location:
  • Phone: 209-381-6812
  • Fax:
Mailing address:
  • Phone: 209-381-6812
  • Fax: 209-724-4046

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License Number95380025
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: