Provider Demographics
NPI:1326302647
Name:SANDS-SAKO, YVONNE TERESA (NP)
Entity Type:Individual
Prefix:
First Name:YVONNE
Middle Name:TERESA
Last Name:SANDS-SAKO
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
Other - First Name:YVONNE
Other - Middle Name:
Other - Last Name:SANDS
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:NP
Mailing Address - Street 1:2201 COURAGE DR
Mailing Address - Street 2:
Mailing Address - City:FAIRFIELD
Mailing Address - State:CA
Mailing Address - Zip Code:94533-6733
Mailing Address - Country:US
Mailing Address - Phone:602-245-4231
Mailing Address - Fax:
Practice Address - Street 1:2201 COURAGE DR
Practice Address - Street 2:
Practice Address - City:FAIRFIELD
Practice Address - State:CA
Practice Address - Zip Code:94533-6733
Practice Address - Country:US
Practice Address - Phone:707-784-2010
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-07-02
Last Update Date:2024-02-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZAP4461363LF0000X
MT173123363LF0000X
OR201703384NP-PP363LF0000X
WAAP60715185363LF0000X
CA95006548363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily