Individual
ANNA LOUISE SAGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AGACNP-BC
Contact information
Practice address
520 E 6TH ST, ODESSA, TX 79761-4527
(432) 582-8000
Mailing address
520 E 6TH ST, ODESSA, TX 79761-4527
(432) 582-8000
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
AP134947
TX
Other
Enumeration date
11/01/2017
Last updated
11/01/2017
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