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Organization

SAGE HEALTHCARE PLLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
EMILY NEGRON NP (BUSINESS MANAGER)
(208) 954-5582
Entity
Organization

Contact information

Practice address
413 N ALLUMBAUGH ST, STE 101, BOISE, ID 83704-9212
(208) 323-1125
(208) 323-9604
Mailing address
413 N ALLUMBAUGH ST, STE 101, BOISE, ID 83704-9212
(208) 323-1125
(208) 323-9604

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
2084N0400X
Neurology Physician
363A00000X
Physician Assistant
363AM0700X
Medical Physician Assistant
363LF0000X
Family Nurse Practitioner
363LP0808X
Psychiatric/Mental Health Nurse Practitioner

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
807468900
ID
Enumeration date
02/22/2007
Last updated
05/01/2026
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