Individual
MRS. NICOLE DEANN SAGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PNP
Contact information
Practice address
601 W STATE HIGHWAY 6 STE 102, WACO, TX 76710-5592
(254) 399-8364
(254) 399-9116
Mailing address
601 W STATE HIGHWAY 6 STE 102, WACO, TX 76710-5592
(254) 399-8364
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
AP135426
TX
Other
Enumeration date
10/12/2017
Last updated
03/17/2018
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