Provider Demographics
NPI:1902368392
Name:SADD, PATRICIA A (LPN)
Entity Type:Individual
Prefix:
First Name:PATRICIA
Middle Name:A
Last Name:SADD
Suffix:
Gender:F
Credentials:LPN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 590
Mailing Address - Street 2:
Mailing Address - City:SUTTON
Mailing Address - State:NE
Mailing Address - Zip Code:68979-0590
Mailing Address - Country:US
Mailing Address - Phone:402-773-4303
Mailing Address - Fax:
Practice Address - Street 1:1107 N SAUNDERS AVE
Practice Address - Street 2:
Practice Address - City:SUTTON
Practice Address - State:NE
Practice Address - Zip Code:68979-2406
Practice Address - Country:US
Practice Address - Phone:402-773-4303
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-04-03
Last Update Date:2019-04-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE19013164W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164W00000XNursing Service ProvidersLicensed Practical Nurse