MEDICARE: SAGE NURSING

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	363LP0808X	Psychiatric/Mental Health Nurse Practitioner

General Provider Information

NPI Number	:	1336009984
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SAGE NURSING

Provider Business Mailing Address
First Line	:	1323 RAINBOW VALLEY BLVD
Second Line	:
City	:	FALLBROOK
State	:	CA
Zip	:	92028-9774
Country	:	US
Telephone Number	:	760-696-5076
Fax Number	:

Provider Business Practice Location Address
First Line	:	1323 RAINBOW VALLEY BLVD
Second Line	:
City	:	FALLBROOK
State	:	CA
Zip	:	92028-9774
Country	:	US
Telephone Number	:	760-696-5076
Fax Number	:

Authorized Official
Title or Position	:	FNP-C PMHNP-C
Name	:	ANNIKA D ALVAREZ
Credential	:	FNP PMHNP
Telephone Number	:	760-696-5076

Provider Enumeration Date	:	11/17/2025
Last Update Date	:	11/17/2025

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Directions to “SAGE NURSING ” Practice Location

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