Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 208000000X | Pediatrician | A108435 | CA |
N | 2080P0207X | Pediatric Hematology-Oncologist | 249444 | MA |
Y | 2080P0207X | Pediatric Hematology-Oncologist | MD20158 | ME |
NPI | 1053631952 |
---|---|
Provider Name | Nadine Patricia Sauer Santacruz |
First Address | Brewer, ME 04412-1021 |
Second Address | Brewer, ME 04412-1021 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 03/06/2010 |
Last Update Date | 09/11/2015 |