Organization · Type 2 NPI
Sage Family Practice
Family Nurse Practitioner · Sheridan, WY
NPI number
1093613085
Active
Practice location
2360 Wetlands Dr
Sheridan, WY 82801-9059
Mailing address
PO Box 565
Dayton, WY 82836-0565
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Nurse Practitioner Primary | 363LF0000X | None listed |
Family Nurse Practitioner: Definition to come...
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About NPI 1093613085
Sage Family Practice's National Provider Identifier is 1093613085, issued on Oct 29, 2026. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Sheridan, WY. The record was last updated on Oct 29, 2026.