Provider Demographics
NPI:1700668316
Name:SAKAE, JULIE ADELAIDE (RN)
Entity Type:Individual
Prefix:
First Name:JULIE
Middle Name:ADELAIDE
Last Name:SAKAE
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3685 RIVERS AVE STE 201
Mailing Address - Street 2:
Mailing Address - City:N CHARLESTON
Mailing Address - State:SC
Mailing Address - Zip Code:29405-8062
Mailing Address - Country:US
Mailing Address - Phone:843-593-4793
Mailing Address - Fax:
Practice Address - Street 1:3685 RIVERS AVE STE 201
Practice Address - Street 2:
Practice Address - City:NORTH CHARLESTON
Practice Address - State:SC
Practice Address - Zip Code:29405-8062
Practice Address - Country:US
Practice Address - Phone:843-953-4713
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-10-18
Last Update Date:2023-10-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC253725163WC1500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes163WC1500XNursing Service ProvidersRegistered NurseCommunity HealthGroup - Single Specialty