Provider Demographics
NPI:1659679595
Name:SAECHAO, NAI SIO (ACNP-BC)
Entity Type:Individual
Prefix:
First Name:NAI
Middle Name:SIO
Last Name:SAECHAO
Suffix:
Gender:F
Credentials:ACNP-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9948 FIRSTONE DR
Mailing Address - Street 2:
Mailing Address - City:SACRAMENTO
Mailing Address - State:CA
Mailing Address - Zip Code:95829-8149
Mailing Address - Country:US
Mailing Address - Phone:916-715-5314
Mailing Address - Fax:
Practice Address - Street 1:9948 FIRSTONE DR
Practice Address - Street 2:
Practice Address - City:SACRAMENTO
Practice Address - State:CA
Practice Address - Zip Code:95829-8149
Practice Address - Country:US
Practice Address - Phone:916-715-5314
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-03-01
Last Update Date:2014-09-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA20218363LA2100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2100XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAcute Care