Provider Demographics
NPI:1295279164
Name:SAGER, BRIGITTE ADELHEID (ARNP)
Entity type:Individual
Prefix:
First Name:BRIGITTE
Middle Name:ADELHEID
Last Name:SAGER
Suffix:
Gender:F
Credentials:ARNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9927 MICKELBERRY RD NW STE 131
Mailing Address - Street 2:
Mailing Address - City:SILVERDALE
Mailing Address - State:WA
Mailing Address - Zip Code:98383-7861
Mailing Address - Country:US
Mailing Address - Phone:360-337-5800
Mailing Address - Fax:253-426-6344
Practice Address - Street 1:9927 MICKELBERRY RD NW STE 131
Practice Address - Street 2:
Practice Address - City:SILVERDALE
Practice Address - State:WA
Practice Address - Zip Code:98383-7861
Practice Address - Country:US
Practice Address - Phone:360-337-5800
Practice Address - Fax:253-426-6344
Is Sole Proprietor?:No
Enumeration Date:2016-12-13
Last Update Date:2020-12-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAAP60705524363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
WA2075911Medicaid