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NPI Code Detail

MEDICARE: SAUNDRIA L PAGE NP

MEDICARE: SAUNDRIA L PAGE NP
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
1363L00000XNurse PractitionerRN 477023CA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1NP 11408OTHERCANURSE PRACTIONER
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1164473187
Entity Type Code : Individual
Provider Name (Legal Business Name) : SAUNDRIA L PAGE NP
Provider Business Mailing Address
First Line : 425 N DATE ST
Second Line :
City : ESCONDIDO
State : CA
Zip : 92025-3413
Country : US
Telephone Number : 760-737-6960
Fax Number :
Provider Business Practice Location Address
First Line : 41840 ENTERPRISE CIR N
Second Line :
City : TEMECULA
State : CA
Zip : 92590-5654
Country : US
Telephone Number : 951-225-6400
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/15/2006
Last Update Date : 12/01/2021

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