MEDICARE: JUANCARLOS GARLAND SAWYER FNP

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	363LF0000X	Family Nurse Practitioner	95015269	CA

General Provider Information

NPI Number	:	1770197881
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JUANCARLOS GARLAND SAWYER FNP

Provider Business Mailing Address
First Line	:	5319 BECKY LN
Second Line	:
City	:	OROVILLE
State	:	CA
Zip	:	95966-6966
Country	:	US
Telephone Number	:	530-403-8590
Fax Number	:

Provider Business Practice Location Address
First Line	:	5319 BECKY LN
Second Line	:
City	:	OROVILLE
State	:	CA
Zip	:	95966-6966
Country	:	US
Telephone Number	:	530-403-8590
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/04/2020
Last Update Date	:	09/04/2020

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