Provider Demographics
NPI:1780490417
Name:SAGE NURSING INCORPORATED
Entity type:Organization
Organization Name:SAGE NURSING INCORPORATED
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:APRN, PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:ANNIKA
Authorized Official - Middle Name:
Authorized Official - Last Name:ALVAREZ
Authorized Official - Suffix:
Authorized Official - Credentials:APRN
Authorized Official - Phone:760-696-5076
Mailing Address - Street 1:1323 RAINBOW VALLEY BLVD
Mailing Address - Street 2:
Mailing Address - City:FALLBROOK
Mailing Address - State:CA
Mailing Address - Zip Code:92028-9774
Mailing Address - Country:US
Mailing Address - Phone:760-696-5076
Mailing Address - Fax:
Practice Address - Street 1:1323 RAINBOW VALLEY BLVD
Practice Address - Street 2:
Practice Address - City:FALLBROOK
Practice Address - State:CA
Practice Address - Zip Code:92028-9774
Practice Address - Country:US
Practice Address - Phone:760-696-5076
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-12-07
Last Update Date:2025-04-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)