Individual
MARY GWENDOLYN SAGEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PNP-PC
Contact information
Practice address
4720 TRADERS WAY, THOMPSONS STATION, TN 37179-5429
(615) 302-1279
Mailing address
4310 DALE AVE, NASHVILLE, TN 37204-4126
(601) 754-6279
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
23810
TN
Other
Enumeration date
03/02/2018
Last updated
03/02/2018
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