Organization
SAGE HEALTHCARE SERVICES PLLC
Active
Organization
SAGE HEALTHCARE SERVICES PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NTAOBASI PATRICK UDEH AGACNP-BC (NURSE PRACTITIONER)
(240) 856-0529
Entity
Organization
Contact information
Practice address
6158 FAIRBOURNE CT, HANOVER, MD 21076-1000
(240) 856-0529
Mailing address
6158 FAIRBOURNE CT, HANOVER, MD 21076-1000
(240) 856-0529
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
—
—
363LA2100X
Acute Care Nurse Practitioner
Primary
—
—
363LG0600X
Gerontology Nurse Practitioner
—
—
Other
Enumeration date
05/15/2026
Last updated
05/15/2026
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