CANDICE DE SAUVAGE NPI 1629681788

NPI Information

NPI: 1629681788
Provider Name: CANDICE DE SAUVAGE
Classification: Nurse Practitioner - 363LF0000X
Entity Type: Individual

Specialization: Family

PECOS Registration: Yes

Address:
1740 NW MAPLE ST STE 100
ISSAQUAH, WA
ZIP 98027
Phone: (425) 391-3900
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Candice De Sauvage is a family nurse practitioner in Issaquah, WA with 1 years of experience. Candice De Sauvage NPI is 1629681788. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

1740 NW MAPLE ST STE 100
ISSAQUAH, WA
ZIP 98027-127
Phone: (425) 391-3900

The NPI 1629681788 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 8/28/2020 and was last updated on 9/19/2023.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	163W00000X	Registered Nurse		RN60565096	WASHINGTON	No
2	363L00000X	Nurse Practitioner		AP61450071	WASHINGTON	No
3	363LF0000X	Nurse Practitioner	Family	AP61450071	WASHINGTON	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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