MRS. NICOLE DEANN SAGE PNP
NPI 1750892105
Nurse Practitioner - Pediatrics in Waco, TX
Active since October 12, 2017
601 W STATE HIGHWAY 6 STE 102, WACO, TX 76710(254) 399-8364(254) 399-9116 Get Directions Write a Review
About Mrs. Nicole Deann Sage Pnp NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MRS. NICOLE DEANN SAGE PNP (NPI 1750892105) is an individual pediatrics provider in Waco, Texas, licensed in Texas (AP135426) and active in the NPI registry since October 2017. She maintains a secondary practice location in Waco.
NPPES Registry Identity
NPI1750892105
Entity TypeIndividualFemale
Primary Taxonomy363LP0200X
Provider Legal NameMRS. NICOLE DEANN SAGECredential: PNP
Location Address601 W STATE HIGHWAY 6 STE 102Waco, TX 76710-5592
Mailing Address601 W State Highway 6 Ste 102Waco, TX 76710-5592 · (254) 399-8364
Phone(254) 399-8364
Fax(254) 399-9116
Sole ProprietorNo
Enumeration DateOctober 12, 2017
Last NPPES UpdateMarch 17, 20184 updates tracked since enumeration
✔ NPI 1750892105 is a valid, active identifier and passes the ISO check-digit test.
Specialties & Licenses
★ Primary SpecialtyNurse Practitioner · PediatricsPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0200X
License✔ Licensed in TX · AP135426
601 W STATE HIGHWAY 6 STE 102, Waco, TX 76710
Secondary Practice Location 1
Location 1120 Hillcrest Medical Blvd Ste 200Waco, TX 76712-8950 · Phone (254) 724-5437
Other Providers at the Same Location NPPES
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
Nurse Practitioner (Pediatrics)
601 W STATE HIGHWAY 6 STE 102
WACO, TX 76710
WACO, TX 76710
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1750892105, enumerated as an "individual" on October 12, 2017.
The provider is located at 601 W STATE HIGHWAY 6 STE 102 WACO, TX 76710 and the phone number is (254) 399-8364.
Nurse Practitioner with taxonomy code 363LP0200X and a focus in Pediatrics.