Israel Saucedo
Nurse Practitioner - Acute Care Nurse Practitioner - Family Medicine
417 W 3rd Ave
Albany
, Georgia 31701-1943
Israel Saucedo
Nurse Practitioner - Acute Care Nurse Practitioner - Family Medicine
417 W 3rd Ave
Albany
, Georgia 31701-1943
(229) 242-9310
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About
Features
Specialties
- Nurse Practitioner - Acute Care
- Nurse Practitioner - Family Medicine
Languages spoken
- English
Location
First Address
- Israel Saucedo
- 130 Moore St
- Omega, GA
- Zip : 31775-3075
- Phone : (229) 242-9310
Second Address
- Israel Saucedo
- 417 W 3rd Ave
- Albany, GA
- Zip : 31701-1943
- Phone : (229) 312-1000
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 363LA2100X | Nurse Practitioner - Acute Care | RN170526 | GA |
| Y | 363LF0000X | Nurse Practitioner - Family Medicine | RN170526 | GA |
National Provider Identifier
| NPI | 1003222191 |
|---|---|
| Provider Name | Israel Saucedo |
| First Address | Omega, GA 31775-3075 |
| Second Address | Albany, GA 31701-1943 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 09/07/2014 |
| Last Update Date | 04/03/2015 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.