Provider Demographics
NPI:1770893190
Name:SADLER, ANNE G (FNP-BC)
Entity type:Individual
Prefix:MS
First Name:ANNE
Middle Name:G
Last Name:SADLER
Suffix:
Gender:F
Credentials:FNP-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:14939 MELODY AVE
Mailing Address - Street 2:
Mailing Address - City:GUERNEVILLE
Mailing Address - State:CA
Mailing Address - Zip Code:95446-9762
Mailing Address - Country:US
Mailing Address - Phone:510-589-1836
Mailing Address - Fax:
Practice Address - Street 1:14939 MELODY AVE
Practice Address - Street 2:
Practice Address - City:GUERNEVILLE
Practice Address - State:CA
Practice Address - Zip Code:95446-9762
Practice Address - Country:US
Practice Address - Phone:510-589-1836
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-10-19
Last Update Date:2010-10-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA459431363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily