Provider Demographics
NPI:1043782535
Name:SAGER, DENISE JESSIE
Entity Type:Individual
Prefix:
First Name:DENISE
Middle Name:JESSIE
Last Name:SAGER
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:242 JACOBY RD
Mailing Address - Street 2:
Mailing Address - City:LOUISA
Mailing Address - State:VA
Mailing Address - Zip Code:23093-5013
Mailing Address - Country:US
Mailing Address - Phone:540-471-1931
Mailing Address - Fax:
Practice Address - Street 1:611 FORRESTER ST SE
Practice Address - Street 2:
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20032-3539
Practice Address - Country:US
Practice Address - Phone:202-945-3983
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-12-20
Last Update Date:2018-12-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374U00000XNursing Service Related ProvidersHome Health Aide