Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 363L00000X | Nurse Practitioner | APRN9374315 | FL |
Y | 363LA2200X | Nurse Practitioner - Adult Health | APRN9374315 | FL |
NPI | 1023251352 |
---|---|
Provider Name | Stacy Lee Sauer |
First Address | Bradenton, FL 34209-4114 |
Second Address | Bradenton, FL 34208-9059 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 16/04/2009 |
Last Update Date | 09/05/2019 |